Organization
TRI TOWN AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY O ERWAY (PRESIDENT)
(814) 848-7565
Entity
Organization
Contact information
Practice address
810 STATE ROUTE 49 WEST, ULYSSES, PA 16948
(814) 848-7565
Mailing address
PO BOX 247, ULYSSES, PA 16948-0247
(814) 848-7565
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011305400001
—
PA
Enumeration date
08/01/2006
Last updated
12/18/2007
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