Organization
ARCHBALD COMMUNITY AMBULANCE AND RESCUE SQUAD
Active
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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