Organization
BENTON VOLUNTEER FIRE COMPANY AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MATTHEWS (SECRETARY)
(570) 925-5542
Entity
Organization
Contact information
Practice address
150 COLLEY ST, BENTON, PA 17814
(570) 925-5542
Mailing address
PO BOX 252, BENTON, PA 17814-0252
(570) 925-5542
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022159460001
—
PA
01
—
108657
HEALTH PARTNERS
PA
01
—
338913
HEALTH AMERICA
PA
Enumeration date
06/16/2008
Last updated
01/24/2013
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