Organization
SNOW SHOE AMBULANCE & RESCUE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON NILSON (OPERATIONS CHIEF)
(814) 387-4499
Entity
Organization
Contact information
Practice address
492 W SYCAMORE RD, SNOW SHOE, PA 16874-0127
(814) 387-4499
(814) 387-0213
Mailing address
PO BOX 271, SNOW SHOE, PA 16874-0271
(814) 387-4499
(814) 387-0213
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001792284
—
PA
05
—
0017922840001
—
PA
01
—
800497
DEPARTMENT OF LABOR
PA
Enumeration date
08/18/2005
Last updated
11/10/2014
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