Healthcare Provider Details

I. General information

NPI: 1508867615
Provider Name (Legal Business Name): KLECKNERSVILLE RANGERS VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 MOUNTAIN VIEW DR
BATH PA
18014-9222
US

IV. Provider business mailing address

2718 MOUNTAIN VIEW DR
BATH PA
18014-9222
US

V. Phone/Fax

Practice location:
  • Phone: 610-837-1901
  • Fax: 610-837-9539
Mailing address:
  • Phone: 610-837-1901
  • Fax: 610-837-9539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VINCENT M KIER
Title or Position: TREASURER
Credential:
Phone: 610-837-1901