Organization
ALTOONA LOGAN TWP MOBILE MED EMERG DEPT AUTHORITY
Active
Other names
AMED
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J WATTERS (EXECUTIVE DIRECTOR)
(814) 943-8993
Entity
Organization
Contact information
Practice address
106 REIMER ST, ALTOONA, PA 16602-5936
(814) 943-8993
(814) 943-7199
Mailing address
PO BOX 1951, ALTOONA, PA 16603-1951
(814) 943-8993
(814) 943-7199
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
06065
PA
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014766780003
—
PA
Enumeration date
09/14/2005
Last updated
01/22/2024
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