Organization
MOSHANNON VALLEY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA FAY FOSTER (CORPORATE MANAGER)
(814) 342-3292
Entity
Organization
Contact information
Practice address
14 W LOCUST ST, PHILIPSBURG, PA 16866-2100
(814) 342-3292
(814) 342-1308
Mailing address
PO BOX 289, PHILIPSBURG, PA 16866-0289
(814) 342-3292
(814) 342-1308
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03187
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00035215
STATE WORKMEN'S INS. FUND
PA
05
—
0014783400003
—
PA
01
—
1275334
UNITED MINE WORKERS
PA
01
—
212641
BLUE CROSS BLUE SHIELD
PA
01
—
50002939
CAPITAL BLUE CROSS
PA
01
—
804703
FEDERAL BLACK LUNG (FBLP)
PA
01
—
PO20236
CHAMPUS
PA
Enumeration date
12/27/2005
Last updated
05/10/2012
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