Organization
MAHANTONGO VALLEY AMBULANCE ASOCCIATION INC.
Active
Organization
MAHANTONGO VALLEY AMBULANCE ASOCCIATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAYCOCK (PRESIDENT)
(570) 648-5525
Entity
Organization
Contact information
Practice address
102 MAIN RD, PITMAN, PA 17964-0070
(570) 648-5525
(570) 648-5525
Mailing address
PO BOX 70, PITMAN, PA 17964-0070
(570) 648-5525
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016278610002
—
PA
Enumeration date
01/25/2006
Last updated
09/03/2019
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