Organization
WEST PITTSTON COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE FIRESTINE (TREASURER)
(570) 655-9122
Entity
Organization
Contact information
Practice address
401 TUNKHANNOCK AVE, WEST PITTSTON, PA 18643-1223
(570) 654-2747
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
(570) 714-3695
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04271
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015399380003
—
PA
01
—
590011759
RAILROAD MEDICARE
—
01
—
800358
FEDERAL BLACK LUNG
—
Enumeration date
11/22/2006
Last updated
06/03/2009
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