Organization
SUPERIOR AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS L. DICK (DIRECTOR)
(724) 458-6301
Entity
Organization
Contact information
Practice address
921 EAST MAIN STREET EXT., GROVE CITY, PA 16127-0247
(724) 458-5350
(724) 458-6302
Mailing address
PO BOX 247, GROVE CITY, PA 16127-0247
(724) 458-5350
(724) 458-6302
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02238
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016173000002
—
PA
Enumeration date
11/16/2006
Last updated
02/01/2008
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