Organization
TROUT RUN VOLUNTEER FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A PASSUELLO (TREASURER)
(570) 998-8211
Entity
Organization
Contact information
Practice address
452 STEAM VALLEY RD, C/O DEBORAH A. PASSUELLO, TROUT RUN, PA 17771-9100
(570) 998-8211
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
4101416
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007750460002
—
PA
Enumeration date
12/13/2005
Last updated
01/10/2012
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