Organization
SHIPPENVILLE ELK TOWNSHIP VOLUNT
Active
Other names
Shippenville/Elk Volunteer Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY JEANNERAT (TREASURER)
(814) 782-6245
Entity
Organization
Contact information
Practice address
207 MAIN ST, SHIPPENVILLE, PA 16254-3905
(814) 782-6245
(814) 782-3327
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
NY DPA COMPUTER SCIENCES
—
05
—
0012691900004
—
PA
01
—
081243600
FEDERAL BLACK LUNG
—
01
—
282131
BCBS OF PA BLUE SHIELD
—
01
—
590010198
UNITED HC RR MEDICARE
—
Enumeration date
09/23/2005
Last updated
03/28/2013
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