Organization Name: | OLD FORGE AMBULANCE & RESCUE ASSOCIATION |
NPI Number: | 1235346552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT GOTAY (TREASURER) |
Mailing Address: | 239 Railroad St Old Forge |
State: | PA US |
Postal Code: | 185182003 |
Phone Number: | 5704579693 |
Fax Number: | 5705048343 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 05134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |