Healthcare Provider Details

I. General information

NPI: 1568458537
Provider Name (Legal Business Name): DEWEY FIRE COMPANY NUMBER ONE (NO 1)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 DURHAM ST
HELLERTOWN PA
18055-1909
US

IV. Provider business mailing address

PO BOX 207
ALLENTOWN PA
18105-0207
US

V. Phone/Fax

Practice location:
  • Phone: 610-838-1677
  • Fax: 610-838-1688
Mailing address:
  • Phone: 484-664-2007
  • Fax: 484-664-2017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number04099
License Number StatePA

VIII. Authorized Official

Name: JOHN BATE
Title or Position: CHIEF
Credential:
Phone: 610-838-1677