Organization
KUNKLE FIRE COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DODSON (CHIEF)
(570) 675-3334
Entity
Organization
Contact information
Practice address
RR 1 BOX 301A, DALLAS, PA 18612-9734
(570) 675-3334
Mailing address
RR 1 BOX 301A, DALLAS, PA 18612-9734
(570) 675-3334
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015204170003
—
PA
01
—
080039500
FEDERAL BLACK LUNG
PA
Enumeration date
09/27/2006
Last updated
05/22/2008
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