Organization
STANCLIFF HOSE COMPANY
Active
Other names
Stancliff Hose Company EMS
Organization subpart
No
Provider details
NPI number
Authorized official
RON JAGTA (VICE PRESIDENT)
(814) 796-2181
Entity
Organization
Contact information
Practice address
328 HIGH ST, WATERFORD, PA 16441-8310
(814) 796-2181
(814) 796-6790
Mailing address
409 PORTER AVE, SCOTTDALE, PA 15683-1141
(724) 887-6822
(724) 887-9440
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02258
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007135350003
—
PA
Enumeration date
01/14/2006
Last updated
12/06/2022
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