Organization
PORT AREA AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY B. NORTON (VICE-PRESIDENT)
(814) 642-2057
Entity
Organization
Contact information
Practice address
22279 ROUTE 6, PORT ALLEGANY, PA 16743-1617
(814) 642-2057
(814) 642-2912
Mailing address
22279 ROUTE 6, PORT ALLEGANY, PA 16743-1617
(814) 642-2057
(814) 642-2912
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590006536
—
PA
Enumeration date
05/24/2007
Last updated
02/21/2012
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