Organization
LIFE FORCE OF WESTERN PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHILLING (PRESIDENT)
(724) 589-0665
Entity
Organization
Contact information
Practice address
35 6TH AVE, GREENVILLE, PA 16125-1237
(724) 589-0665
(724) 589-0667
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000068490002
—
PR
01
—
296282
HIGHMARK BS
—
01
—
590012502
PALMETTO GBA
—
Enumeration date
05/18/2006
Last updated
09/04/2020
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