MEDICARE: FRIENDSHIP HOOK, LADDER, HOSE AND AMBULANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	98215	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001182795 0001	OTHER	PA	PROMISE PROVIDER
2	0355652000	OTHER	PA	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0355652000	OTHER	PA	KEYSTONE EAST

General Provider Information

NPI Number	:	1417021189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDSHIP HOOK, LADDER, HOSE AND AMBULANCE

Provider Business Mailing Address
First Line	:	PO BOX 417
Second Line	:
City	:	GILBERTSVILLE
State	:	PA
Zip	:	19525-0417
Country	:	US
Telephone Number	:	610-705-3979
Fax Number	:	610-705-3955

Provider Business Practice Location Address
First Line	:	269 GREEN ST
Second Line	:
City	:	ROYERSFORD
State	:	PA
Zip	:	19468-2214
Country	:	US
Telephone Number	:	610-948-6234
Fax Number	:

Authorized Official
Title or Position	:	AMBULANCE CHIEF
Name	:	MR. JOHN HAWKSWORTH
Credential	:
Telephone Number	:	610-948-6234

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/22/2020

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Directions to “FRIENDSHIP HOOK, LADDER, HOSE AND AMBULANCE ” Practice Location

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