Organization
CLARKS SUMMIT FIRE COMPANY NO 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H JENKINS (PRESIDENT)
(570) 586-9656
Entity
Organization
Contact information
Practice address
321 BEDFORD ST, CLARKS SUMMIT, PA 18411-1800
(570) 586-9656
(570) 587-6003
Mailing address
PO BOX M, CLARKS SUMMIT, PA 18411-0983
(570) 586-9656
(570) 587-6003
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012007210001
—
PA
01
—
079474
FIRST PRIORITY HEALTH
PA
01
—
590009213
UNITED HEALTH CARE
PA
Enumeration date
01/29/2007
Last updated
06/24/2015
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