Organization
COTTAGE HOSE AMBULANCE CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN SMITH (EXECUTIVE DIRECTOR)
(570) 282-5654
Entity
Organization
Contact information
Practice address
2 GREENFIELD RD, CARBONDALE, PA 18407-2833
(570) 282-4649
(570) 282-5653
Mailing address
PO BOX 331, CARBONDALE, PA 18407-0331
(570) 282-4649
(570) 282-5653
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04263
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012007400001
—
PA
01
—
0012860
AETNA US HEALTHCARE
PA
01
—
072995
FIRST PRIORITY HEALTH
PA
01
—
089083900
FEDERAL BLACK LUNG
PA
01
—
1200740
PDA WAIVER PROGRAM
PA
01
—
1531307
GATEWAY HEALTH PLAN
PA
01
—
20013102
AMERI HEALTH MERCY
PA
01
—
246774
BC NEPA ACCESSCARE 2
PA
01
—
287142
STERLING OPTION 1
PA
01
—
590908369
PALMETTO GBA RRMC
PA
01
—
998502
BC MAJOR MEDICAL NEBC
PA
01
—
A1310245
OXFORD HEALTH PLAN
PA
Enumeration date
05/18/2006
Last updated
08/22/2020
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