Organization
YELLOW BREECHES EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SHIELDS (PRESIDENT)
(717) 486-3833
Entity
Organization
Contact information
Practice address
233 MILL ST, MOUNT HOLLY SPRINGS, PA 17065-1718
(717) 486-3833
Mailing address
233 MILL ST, MOUNT HOLLY SPRINGS, PA 17065-1718
(717) 486-3833
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016806710004
—
PA
Enumeration date
12/12/2006
Last updated
06/17/2015
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