Organization
OLD LYCOMING TOWNSHIP VOLUNTEER FIRE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HOPE (PRESIDENT)
(570) 323-7016
Entity
Organization
Contact information
Practice address
1600 DEWEY AVE, WILLIAMSPORT, PA 17701-1514
(570) 323-7016
Mailing address
700 HIGH STREET, C/O WILLIAMSPORT AREA AMBULANCE SERVICE, WILLIAMSPORT, PA 17701-3109
(570) 321-2003
(570) 321-2263
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05243
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008038840002
—
PA
01
—
052811
FIRST PRIORITY HEALTH
PA
01
—
590645093
RAILROAD MEDICARE
PA
Enumeration date
01/20/2006
Last updated
07/11/2012
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