Organization
LANDISBURG FIRE COMPANY AMBULANCE CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN LEINBACH (SECRETARY)
(717) 789-3080
Entity
Organization
Contact information
Practice address
301 FACULTY ST, LANDISBURG, PA 17040
(717) 789-0190
Mailing address
PO BOX 122, LANDISBURG, PA 17040
(717) 789-3080
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007036640004
—
PA
Enumeration date
04/18/2007
Last updated
01/09/2019
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