Organization
JACOBUS LIONS AMBULANCE CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KROUSE (ACTING CHIEF)
(717) 378-1090
Entity
Organization
Contact information
Practice address
18 S MAIN ST, JACOBUS, PA 17407-1304
(717) 428-0218
(717) 428-3259
Mailing address
18 S MAIN ST, JACOBUS, PA 17407-1304
(717) 428-0218
(717) 428-3259
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02228
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001264916
—
PA
Enumeration date
07/14/2005
Last updated
12/02/2025
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