West Wyoming Volunteer Hose Company #1
Organization Active NPI Land Ambulance · West Wyoming, PA
NPI 1972728996 · NPPES record last updated Sep 19, 2016
Key facts
- NPI
- 1972728996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 04036 (PA)
- Legal business name
- WEST WYOMING VOLUNTEER HOSE COMPANY #1
- Practice address
- 926 Shoemaker Ave
West Wyoming, PA 18644-1122 - Phone
- (570) 693-2779
- Fax
- (570) 693-2721
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Joseph Tavaglione
- Title
- Assistant Treasurer
- Phone
- (570) 693-3983
National Provider Directory
Locations
926 Shoemaker Ave
West Wyoming, PA 18644
Phone (570) 693-2779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 04036 | PA | Yes |
Addresses
Primary practice location
926 Shoemaker Ave
West Wyoming, PA 18644-1122
Mailing address
PO Box 1846
Shavertown, PA 18708-0846
Phone (570) 675-6125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590015131 | Other | PA | RAILROAD MEDICARE |
| 0014351830001 | Medicaid | PA |
Other names
- West Wyoming Community Ambulance
Other providers in West Wyoming, PA
All providers in West Wyoming, 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 Sep 19, 2016. 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.