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Organization

GOODWILL STEAM FIRE ENGINE CO - 1

Active
Other names
Goodwill Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY J KOLLAR (BILLING COORDINATOR)
(610) 970-0878
Entity
Organization

Contact information

Practice address
714 HIGH ST, POTTSTOWN, PA 19464
(610) 970-0878
(610) 970-9263
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02259
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007316500001
PA
Enumeration date
12/22/2005
Last updated
10/14/2011
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