Organization
DINGMAN TOWNSHIP VOLUNTEER FIRE DEPARTMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MIKULAK (PRESIDENT)
(570) 686-3696
Entity
Organization
Contact information
Practice address
680 LOG TAVERN RD, MILFORD, PA 18337-7784
(570) 686-3696
(570) 686-5617
Mailing address
PO BOX 417, GILBERTSVILLE, PA 19525-0417
(610) 705-3979
(610) 705-3955
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05129
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012648900002
—
PA
01
—
056980
BLUE SHIELD
PA
01
—
2067631000
NEBC
PA
01
—
590014638
PALMETO GBA
PA
Enumeration date
02/27/2007
Last updated
06/18/2013
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