Healthcare Provider Details

I. General information

NPI: 1982603312
Provider Name (Legal Business Name): MANCHESTER TOWNSHIP
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

3200 FARMTRAIL RD
YORK PA
17402-9699
US

IV. Provider business mailing address

PO BOX 726
NEW CUMBERLAND PA
17070-0726
US

V. Phone/Fax

Practice location:
  • Phone: 717-767-1954
  • Fax: 717-767-6271
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 Number02237
License Number StatePA

VIII. Authorized Official

Name: RICHARD SHANK
Title or Position: FIRE CHIEF
Credential:
Phone: 717-767-1954