Organization
DH&L AMBULANCE LEAGUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MICHAELS (PRESIDENT)
(570) 374-0444
Entity
Organization
Contact information
Practice address
713 BRIDGE ST, STE 14, SELINSGROVE, PA 17870-1250
(570) 374-0444
Mailing address
PO BOX 424, SELINSGROVE, PA 17870-0424
(570) 374-0444
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007643000006
—
PA
01
—
1508535
GATEWAY HEALTH PLAN
PA
01
—
335649
HEALTH AMERICA
PA
01
—
5003008
CAPITAL BLUE CROSS
PA
Enumeration date
12/18/2006
Last updated
05/09/2011
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