Provider Demographics
NPI:1417064072
Name:HARVEYS LAKE FIRE AND AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:HARVEYS LAKE FIRE AND AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-639-1919
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:HARVEYS LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18618-0056
Mailing Address - Country:US
Mailing Address - Phone:570-639-1919
Mailing Address - Fax:
Practice Address - Street 1:1349 LAKESIDE DRIVE
Practice Address - Street 2:
Practice Address - City:HARVEYS LAKE
Practice Address - State:PA
Practice Address - Zip Code:18618-3116
Practice Address - Country:US
Practice Address - Phone:570-639-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport