Organization
JUSTUS VOLUNTEER FIRE COMPANY
Active
Organization
JUSTUS VOLUNTEER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEATH G GOLDSTEIN EMT-BASIC (RECORDING SECRETARY)
(570) 840-0703
Entity
Organization
Contact information
Practice address
159 FIELDSTONE DR, SCOTT TOWNSHIP, PA 18411-8812
(570) 587-4545
Mailing address
159 FIELDSTONE DR, SCOTT TOWNSHIP, PA 18411-8812
(570) 587-4545
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00169499000001
—
PA
01
—
590002433
RR MEDICARE
PA
Enumeration date
01/30/2007
Last updated
10/24/2016
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