Organization
CHRISTIANA COMMUNITY AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY GOSSERT (EMS CHIEF)
(717) 271-6684
Entity
Organization
Contact information
Practice address
55 PINE CREEK DR, GAP, PA 17527-9020
(610) 593-8166
(610) 593-8027
Mailing address
PO BOX 280, CHRISTIANA, PA 17509-0280
(610) 593-6796
(610) 593-8027
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012620720002
—
PA
01
—
590006753
PALMETTO GBA
PA
01
—
590006753
RAILROAD MEDICARE PIN
—
Enumeration date
06/22/2005
Last updated
06/17/2024
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