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Contact Information

CITIZENS HOSE COMPANY OF JERSEY SHORE
1212 LOCUST ST
JERSEY SHORE, PA17740-1920
 Phone: 570-398-7471
 Fax: 570-398-3520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Emergency Medical Technician, Basic

146N00000X
 

Emergency Medical Technician, Paramedic

146L00000X
Indicates primary specialty

NPI Profile & details for CITIZENS HOSE COMPANY OF JERSEY SHORE

NPI # 1497824049
LBN Legal business name CITIZENS HOSE COMPANY OF JERSEY SHORE
Authorized official LLOYD FORCEY - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 01/27/2010 - About 16 years ago
Identifiers
PA License # 03012
PA Medicaid 0011047800002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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