Organization
HANOVER FIRE COMPANY 1
Active
Organization
HANOVER FIRE COMPANY 1
Active
Other names
HealthStat Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN F. KERNS (TRUSTEE)
(717) 465-1163
Entity
Organization
Contact information
Practice address
20 BALTIMORE ST., HANOVER, PA 17331-3108
(717) 848-4872
(717) 848-3871
Mailing address
PO BOX 687, HANOVER, PA 17331-0687
(717) 848-4872
(717) 848-3871
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012030260001
—
PA
01
—
1520047
GATEWAY HEALTH PLAN
PA
Enumeration date
05/29/2005
Last updated
07/10/2009
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