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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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