Organization
KINGSTON FIREMENS COMMUNITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE GRIMES (MANAGER)
(570) 714-0471
Entity
Organization
Contact information
Practice address
600 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 714-0471
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012514170001
PA MEDICAID
—
01
—
0110819
AETNA USHC BLUE BELL HMO
—
01
—
080783
FIRST PRIORITY HEALTH
—
01
—
0X00PA7945
PHS HEALTH PLAN HMO MDC
—
01
—
117946600
ACS HEALTH NET COMMERCIAL
—
01
—
20010720
AMERIHEALTH MERCY HMO DPA
—
01
—
214314
BCNE CONTRACT CLAIMS
—
01
—
590011415
UNITED HC RR MEDICARE
—
01
—
892993
UMWA HEALTH & RETIREMENT
—
Enumeration date
09/23/2005
Last updated
03/01/2013
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