Organization
WILLIAMSBURG AMBULANCE CLUB
Active
Organization
WILLIAMSBURG AMBULANCE CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH E MILLER (TREASURER BOARD OF DIRECTORS)
(814) 695-1421
Entity
Organization
Contact information
Practice address
418 W SECOND ST, WILLIAMSBURG, PA 16693
(814) 695-1421
(814) 695-8280
Mailing address
801 SCOTCH VALLEY ROAD, PO BOX 461, HOLLIDAYSBURG, PA 16648-0461
(814) 695-1421
(814) 695-8280
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03149
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090886
UNISON HEALTH PLAN
—
05
—
0016844100001
—
PA
01
—
137552
HEALTHASSURANCE
—
01
—
1504722
GATEWAY
PA
01
—
302140
UPMC FOR YOU
—
01
—
46185
GEISINGER HEALTH PLAN
—
Enumeration date
04/10/2006
Last updated
08/22/2020
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