Organization Name: | PROVIDENCE TOWNSHIP AMBULANCE ASSOC |
NPI Number: | 1124029061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD DULL (PRESIDENT) |
Mailing Address: | 14 Pennsy Rd New Providence |
State: | PA US |
Postal Code: | 175609402 |
Phone Number: | 7177864572 |
Fax Number: | 7178062029 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 10/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 05058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |