Organization
EAST BRADY AREA AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RYAN (PRESIDENT)
(724) 526-5065
Entity
Organization
Contact information
Practice address
426 KELLYS WAY, EAST BRADY, PA 16028-0325
(724) 526-5065
(724) 526-3532
Mailing address
PO BOX 325, 426 KELLYS WAY, EAST BRADY, PA 16028-0325
(724) 526-5065
(724) 526-3532
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
16013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007936520003
—
PA
01
—
1038097
GATEWAY
PA
Enumeration date
03/16/2007
Last updated
08/22/2020
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