Organization
SOUTHSIDE AREA AMBULANCE ASSOCIATION INC
Active
Organization
SOUTHSIDE AREA AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R WIDGER (CHAIRMAN)
(570) 204-4695
Entity
Organization
Contact information
Practice address
400 SOUTH ST, CATAWISSA, PA 17820-1043
(570) 204-4695
(570) 356-2765
Mailing address
PO BOX 141, CATAWISSA, PA 17820-0141
(570) 204-4695
(570) 356-2765
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012522900004
—
PA
Enumeration date
01/04/2007
Last updated
10/21/2009
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