Organization
GOSHEN FIRE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE HARRISON IV (PRESIDENT)
(610) 430-1555
Entity
Organization
Contact information
Practice address
1320 PARK AVE, WEST CHESTER, PA 19380-6251
(610) 524-6575
Mailing address
1320 PARK AVE, WEST CHESTER, PA 19380-6251
(610) 524-6575
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011458620001
—
PA
01
—
1006720
KEYSTONE MERCY
PA
01
—
20018473
AMERIHEALTH MERCY
PA
01
—
32750
HEALTH PARTNERS
PA
01
—
701280
UPMC FOR YOU
PA
Enumeration date
07/17/2006
Last updated
08/25/2023
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