Organization
WEST WYOMING VOLUNTEER HOSE COMPANY #1
Active
Other names
West Wyoming Community Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TAVAGLIONE (ASSISTANT TREASURER)
(570) 693-3983
Entity
Organization
Contact information
Practice address
926 SHOEMAKER AVE, WEST WYOMING, PA 18644-1122
(570) 693-2779
(570) 693-2721
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 675-6125
(570) 608-4015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014351830001
—
PA
01
—
590015131
RAILROAD MEDICARE
PA
Enumeration date
04/16/2007
Last updated
09/19/2016
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