Organization
HAZLETON COMMUNITY AMBULANCE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND G WHITENIGHT (TREASURER)
(570) 455-5902
Entity
Organization
Contact information
Practice address
465 E CHESTNUT ST, HAZLETON, PA 18201-6711
(570) 455-5902
Mailing address
465 E CHESTNUT ST, HAZLETON, PA 18201-6711
(570) 455-5902
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03155
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011580100001
—
PA
01
—
153651XX
PREFERRED CARE
PA
01
—
281189
HIGHMARK BS
PA
01
—
998531
BLUE CROSS NEPA
PA
Enumeration date
07/19/2006
Last updated
08/22/2020
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