Organization
FAIRFIELD HOSE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAWRYLIW (PRESIDENT)
(814) 881-6193
Entity
Organization
Contact information
Practice address
4896 E LAKE RD, ERIE, PA 16511-1415
(814) 898-0007
(814) 899-8128
Mailing address
409 PORTER AVE, SCOTTDALE, PA 15683-1141
(724) 887-6822
(724) 887-9440
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
01173
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011361100003
—
PA
Enumeration date
01/14/2006
Last updated
12/08/2022
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