Organization Name: | GILBERTSVILLE AREA COMMUNITY AMBULANCE SERVICE |
NPI Number: | 1518951755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M. KOLTONUK (PRESIDENT BOARD OF DIRECTORS) |
Mailing Address: | 91 Jackson Rd Gilbertsville |
State: | PA US |
Postal Code: | 195259529 |
Phone Number: | 6103679191 |
Fax Number: | 6103693931 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 03250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |