Organization
BRADFORD AREA TRANSPORT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY LYNN SCRIVO EMT (PRESIDENT)
(814) 598-1392
Entity
Organization
Contact information
Practice address
17 HOLLEY AVE, BRADFORD, PA 16701-1809
(814) 598-2089
(814) 368-8460
Mailing address
17 HOLLEY AVE, BRADFORD, PA 16701-1809
(814) 598-2089
(814) 368-8460
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
09002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03103179
—
NY
05
—
102254327
—
PA
01
—
2092305
HIGHMARK BLUE CROSS/BLUE SHIELD
PA
01
—
P00688496
RAILROAD MEDICARE
—
Enumeration date
01/28/2009
Last updated
09/29/2014
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