Organization
HARDING MT ZION AMBULANCE ASSOC
Active
Organization
HARDING MT ZION AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SAKALAS (TREASURER)
(570) 388-0983
Entity
Organization
Contact information
Practice address
2035 ROUTE 92 HWY, HARDING, PA 18643-3100
(570) 388-0983
(570) 388-4079
Mailing address
PO BOX 133, FALLS, PA 18615-0133
(570) 388-0983
(570) 388-4079
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016844470001
—
PA
01
—
297345
BLUE SHIELD
PA
Enumeration date
05/20/2006
Last updated
11/18/2010
Update your record
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