Organization
BELLWOOD AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN MILLER (PRESIDENT)
(814) 742-7474
Entity
Organization
Contact information
Practice address
601 N 3RD ST, BELLWOOD, PA 16617-1811
(814) 742-7474
(814) 742-9720
Mailing address
601 N 3RD ST, BELLWOOD, PA 16617-1811
(814) 742-7474
(814) 742-9720
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02171
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015717570004
—
PA
01
—
205503
BLUSE CROSS/BLUE SHIELD
PA
Enumeration date
02/01/2006
Last updated
08/22/2020
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