Organization Name: | GOLDSBORO FIRE CO NO 1 |
NPI Number: | 1780680603 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARVINA CONLEY (AMBULANCE CAPTAIN) |
Mailing Address: | 57 N York St Etters |
State: | PA US |
Postal Code: | 173198952 |
Phone Number: | 7179329477 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 03343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |