Healthcare Provider Details

I. General information

NPI: 1174503189
Provider Name (Legal Business Name): BATH VOLUNTEER FIRE FIGHTERS AND AMBULANCE CORPS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CENTER ST STE B
BATH PA
18014-1075
US

IV. Provider business mailing address

121 CENTER ST STE B
BATH PA
18014-1075
US

V. Phone/Fax

Practice location:
  • Phone: 610-837-6400
  • Fax: 610-837-4101
Mailing address:
  • Phone: 610-837-6400
  • Fax: 610-837-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ANDREW T DALPEZZO
Title or Position: ASSISTANT AMBULANCE CAPTAIN
Credential:
Phone: 610-837-6400