Organization
MOUNT MORRIS EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON S BENNETT EMT E026573 (PRESIDENT)
(724) 324-5212
Entity
Organization
Contact information
Practice address
MAIN ST, AMERICAN LEGION HALL, MT MORRIS, PA 15349
(724) 324-2041
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014463100004
—
PA
01
—
219279
BCBS OF PA
PA
Enumeration date
09/23/2005
Last updated
09/28/2007
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