Organization
DUSHORE FIRE CO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J CLARK (CLERICAL BILLING AGENT)
(570) 268-2417
Entity
Organization
Contact information
Practice address
JULIA ST, DUSHORE, PA 18614
(570) 928-8508
Mailing address
PO BOX 111, TOWANDA, PA 18848-0111
(570) 268-2417
(570) 265-4797
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05128
PA
3416L0300X
Land Ambulance
05128
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009433010003
—
PA
Enumeration date
07/13/2006
Last updated
11/14/2007
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