Organization
SOUDERTON COMMUNITY AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY F FLICK EMT (PRESIDENT)
(215) 723-3400
Entity
Organization
Contact information
Practice address
223 WEST RELIANCE RD, TELFORD, PA 18969
(215) 723-3400
(215) 723-1552
Mailing address
PO BOX 64214, SOUDERTON, PA 18964-0214
(215) 723-3400
(215) 723-1552
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011152820004
—
PA
01
—
0049080000
KEYSTONE EAST
—
01
—
07945
HEALTH PARTNERS
—
01
—
10020074
KEYSTONE MERCY
—
01
—
59001268
RR MEDICARE
—
Enumeration date
01/28/2006
Last updated
06/25/2012
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