| Organization Name: | LAKE MEADE FIRE & RESCUE INC |
| NPI Number: | 1083602114 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE BRANDT (TRUSTEE ASSISTANT CHIEF) |
| Mailing Address: | 492 Lake Meade Dr East Berlin |
| State: | PA US |
| Postal Code: | 173169345 |
| Phone Number: | 7172598338 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 03130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |