Organization
DOVER AREA AMBULANCE CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C ROTH (BILLING)
(717) 464-0724
Entity
Organization
Contact information
Practice address
40 E CANAL ST, DOVER, PA 17315-1502
(717) 464-0724
Mailing address
PO BOX 329, WILLOW STREET, PA 17584-0329
(717) 464-0724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03035
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093465200004
—
PA
Enumeration date
11/30/2005
Last updated
05/28/2024
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