Organization
SHENANDOAH COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EXAMITAS (PRESIDENT)
(570) 462-0500
Entity
Organization
Contact information
Practice address
229 N MAIN ST, SHENANDOAH, PA 17976-1705
(570) 462-0500
Mailing address
229 N MAIN ST, SHENANDOAH, PA 17976-1705
(570) 462-0500
(570) 462-1657
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
01291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001058990
—
PA
Enumeration date
08/16/2005
Last updated
12/30/2025
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