Organization
WAYMART VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA THOMPSON (EMS SUPERVISOR)
(570) 488-5580
Entity
Organization
Contact information
Practice address
28 RAILROAD LN, WAYMART, PA 18472
(570) 488-5580
(570) 488-5580
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
(570) 714-3695
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
64011
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010700820002
—
PA
Enumeration date
04/18/2007
Last updated
01/17/2012
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