Organization Name: | DURYEA AMBULANCE AND RESCUE SERVICE ASSOC |
NPI Number: | 1033284245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK BODOSKY (CAPTAIN) |
Mailing Address: | 261 Marcy St Duryea |
State: | PA US |
Postal Code: | 186421352 |
Phone Number: | 5704510404 |
Fax Number: | 5704511210 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 06/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 05158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |