Organization
WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE
Active
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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