Organization Name: | WILLIAMSPORT VOLUNTEER AMBULANCE SVC, INC. |
NPI Number: | 1003852583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | D ELOISE HEALY (ADMINISTRATOR) |
Mailing Address: | 2 Brandy Dr Williamsport |
State: | MD US |
Postal Code: | 217951558 |
Phone Number: | 4104794790 |
Fax Number: | 4104794793 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | NONE REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |