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Organization

PATTON AREA AMBULANCE ASSN.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN P BAKAJZA EMT-P (EXECUTIVE MANAGER)
(814) 674-3730
Entity
Organization

Contact information

Practice address
496 RAILROAD AVE, PATTON, PA 16668-1109
(814) 674-3730
(814) 674-3753
Mailing address
PO BOX 203, PATTON, PA 16668-0203
(814) 674-3730
(814) 674-3753

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03226
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009909560001
PA
Enumeration date
10/27/2005
Last updated
08/22/2020
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