Organization
PERRY TOWNSHIP VOL AMBULANCE SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CALDWELL (PRESIDENT)
(814) 358-2725
Entity
Organization
Contact information
Practice address
5675 DOC WALKER RD, PARKER, PA 16049-4617
(814) 358-2725
(814) 358-2725
Mailing address
5675 DOC WALKER RD, PARKER, PA 16049-4617
(814) 358-2725
(814) 358-2725
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
01309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012007770002
—
PA
01
—
207530
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
01/09/2006
Last updated
08/22/2020
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