Organization
RIVERSIDE VOL. FIRE DEPT.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY DANIELS (FIRE CHIEF)
(814) 288-1076
Entity
Organization
Contact information
Practice address
615 LIBERTY AVE, JOHNSTOWN, PA 15905-3609
(814) 288-1100
(814) 487-7137
Mailing address
615 LIBERTY AVE, JOHNSTOWN, PA 15905-3609
(814) 288-1100
(814) 487-7137
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1103433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012277520004
—
PA
Enumeration date
11/01/2006
Last updated
08/22/2020
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