Organization
WOODLYN FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY POLTROCK (CHIEF)
(610) 833-5338
Entity
Organization
Contact information
Practice address
228 FAIRVIEW RD, WOODLYN, PA 19094-1303
(610) 833-5338
(610) 833-2873
Mailing address
PO BOX 217, WOODLYN, PA 19094-0217
(610) 833-5338
(610) 833-2873
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03311
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001462000
INDEPENDENCE BLUE CROSS
PA
05
—
0012211780006
—
PA
01
—
91267
AETNA
PA
Enumeration date
08/09/2005
Last updated
06/06/2012
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