Provider Demographics
NPI:1073581021
Name:BIGLERVILLE HOSE & TRUCK COMPANY NO. 1
Entity Type:Organization
Organization Name:BIGLERVILLE HOSE & TRUCK COMPANY NO. 1
Other - Org Name:BIGLERVILLE FIRE CO. AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-677-7532
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:BIGLERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17307-0391
Mailing Address - Country:US
Mailing Address - Phone:717-677-7532
Mailing Address - Fax:
Practice Address - Street 1:111 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:BIGLERVILLE
Practice Address - State:PA
Practice Address - Zip Code:17307-0529
Practice Address - Country:US
Practice Address - Phone:717-677-7532
Practice Address - Fax:717-677-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA590004937OtherRAILROAD MEDICARE
PA0007006350004Medicaid
PA0007006350004Medicaid