Organization
FAYETTEVILLE VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE K SHREVE (BILLING OFFICE MANAGER)
(717) 352-7723
Entity
Organization
Contact information
Practice address
101 W MAIN ST, FAYETTEVILLE, PA 17222-1428
(717) 352-7723
(717) 352-8302
Mailing address
101 W MAIN ST, FAYETTEVILLE, PA 17222-1428
(717) 352-7723
(717) 352-8302
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05003
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010609160002
—
PA
05
—
0010609160005
—
PA
Enumeration date
01/25/2006
Last updated
05/05/2014
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