Organization
WYOMING HOSE COMPANY NO ONE
Active
Organization
WYOMING HOSE COMPANY NO ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK CAREY (TREASURER)
(570) 693-1371
Entity
Organization
Contact information
Practice address
33 E 8TH ST, WYOMING, PA 18644-2006
(570) 693-1371
(570) 613-9224
Mailing address
33 E 8TH ST, WYOMING, PA 18644-2006
(570) 693-1371
(570) 613-9224
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013982770005
—
PA
01
—
217348
HIGHMARK BLUE SHIELD
PA
01
—
998569
BCNEPA
PA
Enumeration date
11/01/2006
Last updated
03/25/2009
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