Organization
PENN TOWNSHIP VOLUNTEER EMERGENCY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SMITH (CHIEF)
(717) 637-4949
Entity
Organization
Contact information
Practice address
204 CLOVER LN, HANOVER, PA 17331-4300
(717) 637-4949
Mailing address
204 CLOVER LN, HANOVER, PA 17331-4300
(717) 637-4949
(717) 634-6176
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018925870001
—
PA
Enumeration date
08/17/2007
Last updated
12/12/2016
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