Organization
HAWLEY AMBULANCE & RESCUE COMPANY
Active
Other names
Lake Region EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE G POWELL (PRESIDENT)
(570) 390-8282
Entity
Organization
Contact information
Practice address
15 OLD GRAVITY ROAD, HAWLEY, PA 18428-1000
(570) 226-2734
(570) 226-3091
Mailing address
15 OLD GRAVITY ROAD, HAWLEY, PA 18428-1343
(570) 390-8282
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017730190002
—
PA
Enumeration date
09/20/2006
Last updated
01/13/2023
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