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Organization

WYOMING VALLEY PROFESSIONAL AMBULANCE SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ALVIN HONTZ (GENERAL MANAGER)
(570) 825-2317
Entity
Organization

Contact information

Practice address
6 ROSE LN, WILKES BARRE, PA 18702-5952
(570) 825-2317
(570) 829-6448
Mailing address
PO BOX 2398, WILKES BARRE, PA 18703-2398
(800) 601-9881
(570) 825-9795

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
40220
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000137400
UNISON HEALTH PLAN OF PA
PA
01
2088016000
INDEPENDENCE BLUE CROSS
PA
01
30012666
KEYSTON MERCY
PA
01
8191213
INDEPENDENT HEALTH
NY
Enumeration date
01/11/2007
Last updated
07/12/2007
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