Organization
SAINT CLAIR VETERANS MEMORIAL AMBULANCE FUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BOBELLA (EXECUTIVE CHIEF)
(570) 429-1388
Entity
Organization
Contact information
Practice address
45 N 2ND ST # 47, SAINT CLAIR, PA 17970-1027
(570) 429-1388
(570) 429-0655
Mailing address
PO BOX 124, SAINT CLAIR, PA 17970-0124
(570) 429-1388
(570) 429-0655
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04046
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012172640004
—
PA
01
—
283398
HIGHMARK BLUE SHIELD
PA
01
—
441590643
PALMETTO GBA RAILROAD MED
PA
01
—
50003036
CAPITAL BLUE CROSS
PA
Enumeration date
01/31/2007
Last updated
06/30/2008
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