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Organization

WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE

Active
Other names
Susquehanna Regional EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES SANTANGELO (EXECUTIVE VP/CFO)
(570) 321-3171
Entity
Organization

Contact information

Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2003
(570) 321-2263
Mailing address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2003
(570) 321-2263

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05116
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010733240001
PA
01
069905
FIRST PRIORITY HEALTH HMO
PA
Enumeration date
12/01/2005
Last updated
05/06/2008
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