Provider Demographics
NPI:1902974405
Name:HAMLIN FIRE AND RESCUE COMPANY
Entity Type:Organization
Organization Name:HAMLIN FIRE AND RESCUE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-689-9193
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18427-0116
Mailing Address - Country:US
Mailing Address - Phone:570-689-9193
Mailing Address - Fax:570-689-5561
Practice Address - Street 1:582 HAMLIN HIGHWAY
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:PA
Practice Address - Zip Code:18427
Practice Address - Country:US
Practice Address - Phone:570-689-9193
Practice Address - Fax:570-689-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040333416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012791130004Medicaid
PA350732OtherAMERICA
PA30587OtherGEISINGER HEALTH PLAN
PA1019107830001Medicaid
PA0005848490OtherAETNA
PA801770OtherFIRST PRIORITY HEALTH
202417OtherFEDERAL BLACK LUNG
PA350732OtherHEALTH ASSURANCE
PA0005848490OtherAETNA