Organization
CENTRE LIFELINK EMERGENCY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT KNABLE (CHIEF)
(717) 724-4136
Entity
Organization
Contact information
Practice address
125 PUDDINTOWN RD, STATE COLLEGE, PA 16801-6825
(814) 237-8163
(814) 231-8788
Mailing address
PO BOX 272, STATE COLLEGE, PA 16804-0272
(814) 237-8163
(814) 231-8788
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03365
PA
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
03365
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007658270006
—
PA
01
—
609958800
US DEPT. OF LABOR
PA
01
—
91001939800
AMERICHOICE HEALTH PLAN
PA
Enumeration date
05/17/2006
Last updated
09/11/2019
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