Provider Demographics
NPI:1063639490
Name:THE A F DOBLER HOSE AND LADDER
Entity Type:Organization
Organization Name:THE A F DOBLER HOSE AND LADDER
Other - Org Name:GIRARD FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-774-8218
Mailing Address - Street 1:37 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-1630
Mailing Address - Country:US
Mailing Address - Phone:814-774-8218
Mailing Address - Fax:814-774-5348
Practice Address - Street 1:37 WALNUT ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-1630
Practice Address - Country:US
Practice Address - Phone:814-774-8218
Practice Address - Fax:814-774-5348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011029540002Medicaid
PA285002Medicare PIN