Organization Name: | FRACKVILLE COMMUNITY AMBULANCE ASSOCIATION |
NPI Number: | 1790993186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEO R LUCIANI (FINANCIAL SECRETARY/TREASURER) |
Mailing Address: | 52 E Arch St Frackville |
State: | PA US |
Postal Code: | 179312207 |
Phone Number: | 5708742955 |
Fax Number: | 5708747436 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
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: |