Organization
WINDHAM AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J CLARK (CLERICAL BILLING SERVICE)
(570) 268-2417
Entity
Organization
Contact information
Practice address
RR 2, ROME, PA 18837-9802
(570) 268-2417
Mailing address
PO BOX 111, TOWANDA, PA 18848-0111
(570) 268-2417
(570) 265-4797
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04225
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012067250004
—
PA
Enumeration date
08/02/2006
Last updated
11/04/2011
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