Provider Demographics
NPI:1700906963
Name:LONDONDERRY FIRE COMPANY NO.1
Entity Type:Organization
Organization Name:LONDONDERRY FIRE COMPANY NO.1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:BART
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SHELLENHAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-944-2175
Mailing Address - Street 1:2655 FOXIANNA ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057
Mailing Address - Country:US
Mailing Address - Phone:717-944-2175
Mailing Address - Fax:717-944-1648
Practice Address - Street 1:2655 FOXIANNA ROAD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057
Practice Address - Country:US
Practice Address - Phone:717-944-2175
Practice Address - Fax:717-944-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
06046341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance