Organization
PORT MATILDA EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BROWN (TREASURER)
(814) 692-1035
Entity
Organization
Contact information
Practice address
402 S HIGH ST, PORT MATILDA, PA 16870
(814) 692-1035
(814) 692-1030
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04145
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001411056
—
PA
Enumeration date
08/03/2005
Last updated
10/21/2011
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