Organization
SOUTHERN BLAIR EMERGENCY MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GROVE (MANAGER)
(814) 239-9353
Entity
Organization
Contact information
Practice address
579 MANSION DR, CLAYSBURG, PA 16625
(814) 239-9353
(814) 239-9355
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03346
PA
Other
Enumeration date
08/18/2005
Last updated
08/22/2020
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