Organization
DURYEA AMBULANCE AND RESCUE SERVICE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK BODOSKY (CAPTAIN)
(570) 237-7348
Entity
Organization
Contact information
Practice address
261 MARCY ST, DURYEA, PA 18642-1352
(570) 451-0404
(570) 451-1210
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
(570) 714-3695
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05158
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014387570003
—
PA
Enumeration date
11/22/2006
Last updated
06/30/2009
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