Organization
WILLIAMSPORT VOLUNTEER AMBULANCE SVC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D ELOISE HEALY (ADMINISTRATOR)
(410) 479-4790
Entity
Organization
Contact information
Practice address
2 BRANDY DR, WILLIAMSPORT, MD 21795-1558
(410) 479-4790
(410) 479-4793
Mailing address
PO BOX 455, DENTON, MD 21629-0455
(410) 479-4790
(410) 479-4793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NONE REQUIRED
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000057000
—
WV
Enumeration date
06/21/2006
Last updated
08/22/2020
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