Organization
MILDRED AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M. KELLEY (DIRECTOR/ASST. AMBULANCE CAPTAIN)
(570) 928-8668
Entity
Organization
Contact information
Practice address
113 SCHOOL ROAD, MILDRED, PA 18632-0074
(570) 928-8878
(570) 928-8668
Mailing address
PO BOX 74, MILDRED, PA 18632-0074
(570) 928-8878
(570) 928-8668
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007036000001
—
PA
Enumeration date
05/31/2007
Last updated
11/05/2012
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