Organization
PENN TOWNSHIP AMBULANCE ASSOCIATION RESCUE NO 6
Active
Other names
Penn Twp Ambulance Rescue 6
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR GRANT (DIRECTOR)
(724) 744-4112
Entity
Organization
Contact information
Practice address
1030 SANDY HILL RD, IRWIN, PA 15642-4700
(724) 744-4112
(724) 744-4599
Mailing address
1030 SANDY HILL RD, IRWIN, PA 15642-4700
(724) 744-4112
(724) 744-4599
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067301
UNISON HEATH PLAN
PA
05
—
0007168870002
—
PA
01
—
1021810
GATEWAY HEALTH PLAN
PA
01
—
103546
UPMC HEALTH PLAN
PA
01
—
288698
BLUE CROSS/BLUE SHIELD
PA
01
—
590130845
RR MEDICARE/PALMETTO GBA
PA
01
—
8517
HEALTH AMERICA
PA
Enumeration date
02/01/2006
Last updated
01/18/2013
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