| Organization Name: | LIBERTY FIRE COMPANY NO 1 OF EAST BERLIN |
| NPI Number: | 1417956244 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIM WAGNER (AMBULANCE SECRETARY) |
| Mailing Address: | 101 E Locust St East Berlin |
| State: | PA US |
| Postal Code: | 17316 |
| Phone Number: | 7172597125 |
| Fax Number: | 7172599399 |
| NPI Enumeration Date: | 07/14/2005 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 04195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |