Organization
OLD LYCOMING TOWNSHIP VOLUNTEER FIRE CO
Active
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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