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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