MEDICARE: PLEASANT HILL VOLUNTEER FIRE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	01952	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134124472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEASANT HILL VOLUNTEER FIRE COMPANY

Provider Business Mailing Address
First Line	:	2941 BALTIMORE PIKE
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-9632
Country	:	US
Telephone Number	:	717-637-7778
Fax Number	:	717-637-5614

Provider Business Practice Location Address
First Line	:	3003 BALTIMORE PIKE
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-8442
Country	:	US
Telephone Number	:	717-637-7778
Fax Number	:	717-637-5614

Authorized Official
Title or Position	:	EMS CAPT.
Name	:	ASHLEY L CLOUSHER
Credential	:
Telephone Number	:	717-465-9918

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/14/2012

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