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Organization

GREATER COLUMBIA MEDICAL TRANSPORT SERVICE, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE VINCENT ROSATO (MANAGING PARTNER'S REPRESENTATIVE)
(570) 389-1402
Entity
Organization

Contact information

Practice address
1469 OLD BERWICK RD, BLOOMSBURG, PA 17815-3027
(570) 389-0751
(570) 389-0349
Mailing address
1469 OLD BERWICK RD, BLOOMSBURG, PA 17815-3027
(570) 389-0751
(570) 389-0349

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05172
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01759664
PA
Enumeration date
03/26/2007
Last updated
02/10/2025
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