Organization
LEBANON FIRE DEPARTMENT FIRST AID AND SAFETY PATROL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN SMITH (EXECUTIVE DIRECTOR)
(717) 272-1234
Entity
Organization
Contact information
Practice address
254 S 11TH ST, LEBANON, PA 17042-5918
(717) 272-1234
(717) 270-2875
Mailing address
254 S 11TH ST, LEBANON, PA 17042-5918
(717) 272-1234
(717) 270-2875
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007774990010
—
PA
01
—
1511536
GATEWAY HEALTH PLAN
PA
01
—
265839100
US DEPT OF LABOR
PA
01
—
280777
PA BLUE SHIELD HIGHMARK
PA
01
—
39EA12
CAPITAL BLUE CROSS
PA
01
—
590645676
PALMETTO GBA
PA
Enumeration date
06/11/2006
Last updated
06/25/2008
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