Organization
LADIES AUXILIARY OF THE CLIFFORD TOWNSHIP VOLUNTEER FIRE COMPANY
Active
Organization
LADIES AUXILIARY OF THE CLIFFORD TOWNSHIP VOLUNTEER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE DEFAZIO (PRESIDENT)
(570) 222-3741
Entity
Organization
Contact information
Practice address
STATE ROUTE 106, CLIFFORD, PA 18413-9800
(570) 222-3741
(570) 222-2508
Mailing address
PO BOX 92, CLIFFORD, PA 18413-0092
(571) 222-3741
(570) 222-2508
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05081
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008070140002
UNISON-THREE RIVERS
PA
05
—
0008070140002
—
PA
01
—
7619023
CIGNA
PA
01
—
800408
FIRST PRIORITY HEALTH
PA
Enumeration date
11/01/2006
Last updated
08/22/2020
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