Healthcare Provider Details
I. General information
NPI: 1639233281
Provider Name (Legal Business Name): STEELTON FIRE DEPARTMENT EMERGENCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2006
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
185 N FRONT ST
STEELTON PA
17113
US
IV. Provider business mailing address
PO BOX 7648
STEELTON PA
17113
US
V. Phone/Fax
- Phone: 717-939-2448
- Fax:
- Phone: 717-939-2448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 04217 |
| License Number State | PA |
VIII. Authorized Official
Name:
MICHAEL
C
HOUSER
Title or Position: EMS ADMINISTRATOR
Credential: EMT-P
Phone: 717-939-2448