| Organization Name: | MAHANTONGO VALLEY AMBULANCE ASOCCIATION INC. |
| NPI Number: | 1437129210 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON A. HATTER (PRESIDENT) |
| Mailing Address: | 102 Main Rd Pitman |
| State: | PA US |
| Postal Code: | 179640070 |
| Phone Number: | 5706485525 |
| Fax Number: | 5706485525 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 07/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 06/03/2008 |
| NPI Reactivation Date: | 09/03/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |