Organization
NORTHERN WAYNE FIRE CO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TISANO (PRESIDENT)
(570) 798-2335
Entity
Organization
Contact information
Practice address
1633 CROSSTOWN HWY, LAKEWOOD, PA 18439-3934
(570) 798-2335
(570) 798-0423
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(800) 927-5845
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012400930006
—
PA
Enumeration date
10/27/2009
Last updated
11/11/2024
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