Organization
JUNIATA VALLEY AMBULANCE SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN GORDON (PRESIDENT)
(814) 669-9539
Entity
Organization
Contact information
Practice address
7571 BRIDGE ST, ALEXANDRIA, PA 16611-2718
(814) 669-9539
(814) 669-4880
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001002725
—
PA
Enumeration date
07/14/2005
Last updated
11/05/2012
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