Healthcare Provider Details

I. General information

NPI: 1467447375
Provider Name (Legal Business Name): PLEASANT GAP FIRE CO NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 11/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 ROBINSON LN
PLEASANT GAP PA
16823-7437
US

IV. Provider business mailing address

PO BOX 726
NEW CUMBERLAND PA
17070-0726
US

V. Phone/Fax

Practice location:
  • Phone: 814-359-2102
  • Fax: 814-339-4110
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 Number03059
License Number StatePA

VIII. Authorized Official

Name: RICK MEYERS
Title or Position: PRESIDENT
Credential:
Phone: 814-359-2102