| Organization Name: | DUSHORE FIRE CO 1 |
| NPI Number: | 1922023605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY J CLARK (CLERICAL BILLING AGENT) |
| Mailing Address: | Julia St Dushore |
| State: | PA US |
| Postal Code: | 18614 |
| Phone Number: | 5709288508 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 05128 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |