Organization
NESCOPECK COMMUNITY AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIS H HESS (PRESIDENT)
(570) 759-0391
Entity
Organization
Contact information
Practice address
99 WARREN ST., NESCOPECK, PA 18635
(570) 759-0391
Mailing address
PO BOX 526, NESCOPECK, PA 18635-0526
(570) 759-0391
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008502300001
—
PA
01
—
93285
HEALTH AMERICA
PA
Enumeration date
07/24/2006
Last updated
10/29/2013
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