Organization
GREAT BEND HALLSTEAD VOLUNTEER AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J CONARTON (PRESIDENT)
(570) 879-2026
Entity
Organization
Contact information
Practice address
5 CARROL ST, GREAT BEND, PA 18821-7700
(570) 879-4483
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05007
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00076001630003
—
PA
01
—
07600166
GATEWAY HEALTH PLAN
—
01
—
590014168
PALMETTO GBA RAILROAD
—
Enumeration date
12/28/2005
Last updated
12/09/2011
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