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Organization

MED STAT AMBULANCE LP

Active
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Organization

MED STAT AMBULANCE LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMARA LYN BLASCHAK EMT-PARAMEDIC (PRESIDENT/GENERAL MANAGER)
(570) 449-8167
Entity
Organization

Contact information

Practice address
465 E CHESTNUT ST, HAZLETON, PA 18201-6711
(570) 861-8511
Mailing address
465 E CHESTNUT ST, HAZLETON, PA 18201-6711
(570) 861-8511

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
05/01/2014
Last updated
05/01/2014
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