Basic Information
| Provider Information | |||||||||
| NPI: | 1568458537 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DEWEY FIRE COMPANY NUMBER ONE (NO 1) | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 207 | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181050207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4846642007 | ||||||||
| FaxNumber: | 4846642017 | ||||||||
| Practice Location | |||||||||
| Address1: | 502 DURHAM ST | ||||||||
| Address2: | |||||||||
| City: | HELLERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180551909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108381677 | ||||||||
| FaxNumber: | 6108381688 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2005 | ||||||||
| LastUpdateDate: | 05/22/2012 | ||||||||
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| AuthorizedOfficialLastName: | BATE | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF | ||||||||
| AuthorizedOfficialTelephone: | 6108381677 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | 04099 | PA | Y | Transportation Services | Ambulance | Land Transport |
ID Information
| ID | Type | State | Issuer | Description | 30013192 | 01 | KEYSTONE MERCY HMO DPA | OTHER | 0054049 | 01 | AETNA USHC BLUE BELL HMO | OTHER | 20009116 | 01 | AMERIHEALTH MERCY HMO DPA | OTHER | 266089700 | 01 | DEPT OF LABOR WORK COMP | OTHER | 281295 | 01 | PA | BCBS | OTHER | 281295 | 01 | CLASSICBLUE ZAH | OTHER | 281295 | 01 | FEDERAL BCBS | OTHER | 281295 | 01 | SELECT BLUE HMO | OTHER | 281295 | 01 | DIRECT BLUE ZAB | OTHER | 32497 | 01 | HEALTH PARTNERS HMO DPA | OTHER | 281295 | 01 | PPO BLUE ZAR | OTHER | A1955266 | 01 | OXFORD HEALTH PLAN | OTHER | 0012378390003 | 05 | PA | MEDICAID | 281295 | 01 | CLASSICBLUEMAJMED ZAH ZAM | OTHER | 281295 | 01 | SPECIAL CARE SOC MISS BC | OTHER |