Organization
ORBISONIA ROCKHILL FIRE CO AMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED L MCCLAIN (TRUSTEE / RESCUE CAPT)
(814) 447-3221
Entity
Organization
Contact information
Practice address
15 ELLIOTT ST, ORBISONIA, PA 17243
(814) 447-3221
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04287
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008575170004
—
PA
01
—
0030369
AETNA USHC BLUE BELL HMO
—
01
—
1131860
KEYSTONE MERCY HMO DPA
—
01
—
283430
BCBS OF PA
PA
01
—
833832
UMWA HEALTH & RET. FUNDS
—
Enumeration date
09/23/2005
Last updated
08/22/2020
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