Organization
SOUTH WILLIAMSPORT FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CUPP (PRESIDENT)
(570) 326-4167
Entity
Organization
Contact information
Practice address
573 HASTINGS ST, SOUTH WILLIAMSPORT, PA 17702-7604
(570) 326-4167
Mailing address
700 HIGH STREET, C/O WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2003
(570) 321-2263
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
41003
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008815300002
—
PA
01
—
803606
FIRST PRIORITY HEALTH
PA
01
—
998540
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
12/28/2005
Last updated
06/28/2016
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