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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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