Provider Demographics
NPI:1568422160
Name:COMMISSIONERS OF LOWER ALLEN TWP
Entity Type:Organization
Organization Name:COMMISSIONERS OF LOWER ALLEN TWP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWNSHIP MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:VERNAU
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-975-7575
Mailing Address - Street 1:2233 GETTYSBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7383
Mailing Address - Country:US
Mailing Address - Phone:717-975-7575
Mailing Address - Fax:717-975-2286
Practice Address - Street 1:2233 GETTYSBURG ROAD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7383
Practice Address - Country:US
Practice Address - Phone:717-975-7575
Practice Address - Fax:717-975-2286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010881490002Medicaid
PA0010881490002Medicaid