1568458537 NPI number — DEWEY FIRE COMPANY NUMBER ONE (NO 1)

Table of content: (NPI 1568458537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568458537 NPI number — DEWEY FIRE COMPANY NUMBER ONE (NO 1)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEWEY FIRE COMPANY NUMBER ONE (NO 1)
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568458537
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18105-0207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-664-2007
Provider Business Mailing Address Fax Number:
484-664-2017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
502 DURHAM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HELLERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18055-1909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-838-1677
Provider Business Practice Location Address Fax Number:
610-838-1688
Provider Enumeration Date:
09/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BATE
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
610-838-1677

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  04099 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 30013192 . This is a "KEYSTONE MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0054049 . This is a "AETNA USHC BLUE BELL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20009116 . This is a "AMERIHEALTH MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 266089700 . This is a "DEPT OF LABOR WORK COMP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "CLASSICBLUE ZAH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "FEDERAL BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "SELECT BLUE HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "DIRECT BLUE ZAB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 32497 . This is a "HEALTH PARTNERS HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "PPO BLUE ZAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: A1955266 . This is a "OXFORD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0012378390003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 281295 . This is a "CLASSICBLUEMAJMED ZAH ZAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281295 . This is a "SPECIAL CARE SOC MISS BC" identifier . This identifiers is of the category "OTHER".




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