Healthcare Provider Details

I. General information

NPI: 1104825405
Provider Name (Legal Business Name): NEW CUMBERLAND FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 4TH ST
NEW CUMBERLAND PA
17070-2120
US

IV. Provider business mailing address

PO BOX 726
NEW CUMBERLAND PA
17070-0726
US

V. Phone/Fax

Practice location:
  • Phone: 717-774-0193
  • Fax: 717-774-7046
Mailing address:
  • Phone: 717-214-6018
  • Fax: 717-214-6020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03264
License Number StatePA

VIII. Authorized Official

Name: CINDY ANDERSON
Title or Position: EMS CAPTAIN
Credential:
Phone: 717-774-0193