Organization
AMSERV LTD
Active
Other names
DuSan
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S FEDERICI (EXECUTIVE DIRECTOR)
(814) 375-9290
Entity
Organization
Contact information
Practice address
835 BEAVER DRIVE, DU BOIS, PA 15801
(814) 375-9290
(814) 375-9691
Mailing address
P.O. BOX 253, DU BOIS, PA 15801
(814) 375-9290
(814) 375-9691
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
06021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001217273
—
PA
05
—
0012172730003
—
PA
01
—
1501709
GATEWAY
PA
01
—
805916
BLACK LUNG
PA
Enumeration date
10/23/2006
Last updated
11/16/2021
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