Provider Demographics
NPI:1285789479
Name:LLANERCH FIRE COMPANY
Entity type:Organization
Organization Name:LLANERCH FIRE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-449-5396
Mailing Address - Street 1:107 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5315
Mailing Address - Country:US
Mailing Address - Phone:610-789-1363
Mailing Address - Fax:610-789-1081
Practice Address - Street 1:107 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5315
Practice Address - Country:US
Practice Address - Phone:610-789-1363
Practice Address - Fax:610-789-1081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PALL280358Medicare ID - Type Unspecified