Organization
PROVIDENCE TOWNSHIP AMBULANCE ASSOC
Active
Organization
PROVIDENCE TOWNSHIP AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DULL (PRESIDENT)
(717) 786-4572
Entity
Organization
Contact information
Practice address
14 PENNSY RD, NEW PROVIDENCE, PA 17560-9402
(717) 786-4572
(717) 806-2029
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05058
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000706497
—
PA
Enumeration date
08/02/2005
Last updated
10/22/2008
Update your record
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