Organization
LAKE SILKWORTH VOLUNTEER AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA M HIGGINS (BILLING REPRESENTATIVE)
(570) 341-9340
Entity
Organization
Contact information
Practice address
1875 STATE ROUTE 29, HUNLOCK CREEK, PA 18621-4221
(570) 477-5471
Mailing address
PO BOX 320, DUNMORE, PA 18512-0320
(570) 341-9340
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014645140004
—
PA
Enumeration date
08/23/2006
Last updated
11/17/2008
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