Organization
BROOKSIDE VOLUNTEER FIRE COMPANY
Active
Organization
BROOKSIDE VOLUNTEER FIRE COMPANY
Active
Other names
Brookside Fire Company Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A BISHOP (PRESIDENT)
(814) 889-3820
Entity
Organization
Contact information
Practice address
3560 ATHENS ST, ERIE, PA 16510-3012
(814) 899-3820
(814) 899-1479
Mailing address
3560 ATHENS ST, ERIE, PA 16510-3012
(814) 899-3820
(814) 899-1479
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010890570001
—
PA
05
—
0010890570003
—
PA
01
—
1501732
GATEWAY HEALTH PLAN
PA
01
—
250344
UPMC HEALTH
PA
01
—
285123
BLUE CROSS/BLUE SHIELD
PA
01
—
339394
HEALTH AMERICA
PA
01
—
590011960
RR MEDICARE/PALMETTO GBA
PA
Enumeration date
01/09/2006
Last updated
02/16/2017
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