Slocum Township Volunteer Fire Company No 1
Organization Active NPI Land Ambulance · Wapwallopen, PA
NPI 1821010331 · NPPES record last updated Feb 11, 2013
Key facts
- NPI
- 1821010331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- SLOCUM TOWNSHIP VOLUNTEER FIRE COMPANY NO 1
- Practice address
- 1923 Slocum Rd
Wapwallopen, PA 18660-8886 - Phone
- (570) 868-6255
- Fax
- (570) 868-3815
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Theodore M Wiaterowski Jr.
- Title
- EMS Captain/Billing Officer
- Phone
- (570) 868-6255
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
1923 Slocum Rd
Wapwallopen, PA 18660-8886
Mailing address
1923 Slocum Rd
Wapwallopen, PA 18660-8886
Phone (570) 868-6255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083364100 | Other | PA | FEDERAL BLACK LUNG PROG |
| 248702 | Other | PA | HIGHMARK BS |
| 998571 | Other | PA | BLUE CROSS NEPA |
| 1011294690001 | Medicaid | PA |
Other providers in Wapwallopen, PA
- Jason Anthony Kowalski
- John Franklin Kressler II
- Mary E Martin
- Pond Hill Lily Lake Ambulance Association
- Slocum Township Volunteer Ambulance Association
- Sunflower Counseling
All providers in Wapwallopen, PA · Land Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.