Healthcare Provider Details

I. General information

NPI: 1376508515
Provider Name (Legal Business Name): THE FRIENDSHIP HOSE COMPANY NO 1 OF NEWVILLE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 EAST BIG SPRING ROAD
NEWVILLE PA
17241
US

IV. Provider business mailing address

4 W MAIN ST PO BOX 3539
SHIREMANSTOWN PA
17011-6326
US

V. Phone/Fax

Practice location:
  • Phone: 717-776-4747
  • Fax: 717-776-9321
Mailing address:
  • Phone: 717-920-8460
  • Fax: 717-901-5731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TROY LEE WISER
Title or Position: PRESIDENT
Credential:
Phone: 717-776-4747