Organization
FELLOWS CLUB VOLUNTEER FIRE DEPT
Active
Other names
Fellows Club Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD F CARLESS (TREASURER/AMBULANCE CHIEF)
(814) 587-2876
Entity
Organization
Contact information
Practice address
1015 STRAWBERRY ALLEY, CONNEAUTVILLE, PA 16406
(814) 587-2876
Mailing address
PO BOX 305, CONNEAUTVILLE, PA 16406-0305
(814) 587-2876
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015664520003
ION HEALTH
PA
05
—
0015664520003
—
PA
01
—
336903
HEALTH AMERICA
PA
01
—
50149
HEALTH ASSURANCE
PA
Enumeration date
07/19/2006
Last updated
06/21/2016
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