| Organization Name: | WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE |
| NPI Number: | 1013991389 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES SANTANGELO (EXECUTIVE VP/CFO) |
| Mailing Address: | 777 Rural Ave Williamsport |
| State: | PA US |
| Postal Code: | 177013109 |
| Phone Number: | 5703212003 |
| Fax Number: | 5703212263 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 05116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |