Organization
BLUE RIDGE MOUNTAIN VOLUNTEER FIRE & RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FLEAGLE (ADMINISTRATOR)
(717) 794-2323
Entity
Organization
Contact information
Practice address
13063 MONTEREY LN, BLUE RIDGE SUMMIT, PA 17214-9761
(717) 794-2323
(717) 794-2831
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03233
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001811666
—
PA
Enumeration date
06/16/2005
Last updated
09/14/2009
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