Organization
YOUNGSVILLE VFD AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT L ROSE (PRESIDENT)
(814) 563-4455
Entity
Organization
Contact information
Practice address
222 EAST MAIN STREET, YOUNGSVILLE, PA 16371-1124
(814) 563-4455
(814) 563-3334
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2017
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6201001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025058660001
—
NJ
Enumeration date
02/24/2006
Last updated
10/26/2010
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