| Organization Name: | GLENVILLE AMBULANCE, LLC |
| NPI Number: | 1508260126 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS ALLEN BRADLEY (PRESIDENT) |
| Mailing Address: | 5871 Blooming Grove Rd Glenville |
| State: | PA US |
| Postal Code: | 173299413 |
| Phone Number: | 4437443114 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2014 |
| NPI Last Update Date: | 10/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | 01013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |