Organization
ARCHBALD COMMUNITY AMBULANCE AND RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TRENTLY (SECRETARY)
(570) 282-5652
Entity
Organization
Contact information
Practice address
195 DELAWARE ST, ARCHBALD, PA 18403-1903
(570) 282-5652
(570) 282-5653
Mailing address
PO BOX 1, ARCHBALD, PA 18403-0001
(570) 282-5652
(570) 282-5653
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04151
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011579800004
—
PA
01
—
069706
FIRST PRIORITY HEALTH
PA
01
—
087558800
FEDERAL BLACK LUNG
PA
01
—
1157980
UNISON-THREE RIVERS
PA
01
—
20017052
AMERIHEALTH MERCY
PA
01
—
280295
BCNEPA/AC2
PA
01
—
590008655
RAILROAD MEDICARE
PA
01
—
998524
BC/BS NEPA
PA
Enumeration date
09/20/2006
Last updated
03/17/2017
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