Organization
WARRIOR RUN AREA AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HESTIA BROWN (TREASURER)
(570) 538-5100
Entity
Organization
Contact information
Practice address
1125 MAIN ST., WATSONTOWN, PA 17777-1432
(570) 538-5100
(570) 538-2967
Mailing address
PO BOX 8, WATSONTOWN, PA 17777-0008
(570) 538-5100
(570) 538-2967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
04065
PA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012877710001
—
PA
01
—
P00217170
RAILROAD MEDICARE
—
Enumeration date
12/27/2005
Last updated
12/02/2024
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