Provider Demographics
NPI:1790777530
Name:ROSE FIRE CO. NO 1 OF NEW FREEDOM BOROUGH YORK COUNTY PA
Entity Type:Organization
Organization Name:ROSE FIRE CO. NO 1 OF NEW FREEDOM BOROUGH YORK COUNTY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-235-4444
Mailing Address - Street 1:200 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:17349-9336
Mailing Address - Country:US
Mailing Address - Phone:717-235-4444
Mailing Address - Fax:717-235-6967
Practice Address - Street 1:200 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:17349-9336
Practice Address - Country:US
Practice Address - Phone:717-235-4444
Practice Address - Fax:717-235-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04190341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012341490001Medicaid
PA0012341490001Medicaid