MEDICARE: VALLEY REGIONAL FIRE AND RESCUE INC

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	:	1851312623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY REGIONAL FIRE AND RESCUE INC

Provider Business Mailing Address
First Line	:	14 W BUTLER DR
Second Line	:
City	:	DRUMS
State	:	PA
Zip	:	18222-2310
Country	:	US
Telephone Number	:	570-788-1886
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 W BUTLER DR
Second Line	:
City	:	DRUMS
State	:	PA
Zip	:	18222-2310
Country	:	US
Telephone Number	:	570-788-1886
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORMAN M BROWN
Credential	:
Telephone Number	:	570-788-1886

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	05/05/2008

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