MEDICARE: MARSHALLS CREEK 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	3416L0300X	Land Ambulance

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	:	1366610388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSHALLS CREEK FIRE COMPANY

Provider Business Mailing Address
First Line	:	PO BOX 1
Second Line	:
City	:	MARSHALLS CREEK
State	:	PA
Zip	:	18335-0001
Country	:	US
Telephone Number	:	570-223-8445
Fax Number	:	570-223-5620

Provider Business Practice Location Address
First Line	:	112 MARSHALLS CREEK RD
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18335-0001
Country	:	US
Telephone Number	:	570-223-8445
Fax Number	:	570-223-5620

Authorized Official
Title or Position	:	TREASURER
Name	:	NICOLAS DENNIS
Credential	:
Telephone Number	:	570-223-8445

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	03/10/2026

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Directions to “MARSHALLS CREEK FIRE COMPANY ” Practice Location

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