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Organization

LACKAWAXEN TOWNSHIP VOLUNTEER AMBULANCE SERVICE

Active
Other names
Lackawaxen EMS
Organization subpart
No

Provider details

NPI number
Authorized official
RICH ULRICH (OFFICER/CAPTAIN)
(272) 336-9850
Entity
Organization

Contact information

Practice address
1611 ROUTE 590, HAWLEY, PA 18428-7794
(570) 685-4022
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 661-9661
(484) 664-2015

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013026140006
PA
01
081118
FIRST PRIORITY HEALTH
PA
01
612359700
US DEPARTMENT OF LABOR
PA
Enumeration date
12/06/2006
Last updated
10/16/2025
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