| Organization Name: | SPRING GROVE AREA AMBULANCE CLUB |
| NPI Number: | 1043202898 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE BANKERT (TREASURER) |
| Mailing Address: | 75 S Main St Spring Grove |
| State: | PA US |
| Postal Code: | 173621015 |
| Phone Number: | 7172253810 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 04014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |