Organization
LOCK HAVEN EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD L BANFILL (PRESIDENT)
(570) 748-1611
Entity
Organization
Contact information
Practice address
21 S LIBERTY ST, LOCK HAVEN, PA 17745-2570
(570) 748-1611
Mailing address
PO BOX 11, LOCK HAVEN, PA 17745-0011
(570) 748-1611
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007464920008
—
PA
01
—
212133
HIGHMARK BS
PA
01
—
998572
BLUE CROSS NEPA
PA
01
—
HEALTH AMERICA
30197
PA
01
—
HEALTH PARTNERS
36376
PA
Enumeration date
07/21/2006
Last updated
05/22/2008
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