Organization
MIDDLEBURY AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D RICE (PRESIDENT)
(570) 376-3831
Entity
Organization
Contact information
Practice address
11747 ROUTE 287, MIDDLEBURY CENTER, PA 16935
(570) 376-3831
(570) 376-2370
Mailing address
11747 ROUTE 287, MIDDLEBURY CENTER, PA 16935
(570) 376-3831
(570) 376-2370
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030004910001
—
PA
Enumeration date
09/11/2014
Last updated
08/01/2016
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