Organization
CORRY AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL JOHNSON (DIRECTOR OF FINANCE)
(814) 870-1032
Entity
Organization
Contact information
Practice address
965 SHAMROCK LN, CORRY, PA 16407-9121
(814) 664-8656
(814) 870-1950
Mailing address
1926 PEACH ST, ERIE, PA 16502-2872
(814) 870-1010
(814) 870-1950
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05045
PA
3416L0300X
Land Ambulance
05045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015627110004
—
PA
Enumeration date
08/15/2005
Last updated
11/24/2015
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