Organization
GILBERTSVILLE AREA COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M. KOLTONUK (PRESIDENT BOARD OF DIRECTORS)
(610) 367-9191
Entity
Organization
Contact information
Practice address
91 JACKSON RD, GILBERTSVILLE, PA 19525-9529
(610) 367-9191
(610) 369-3931
Mailing address
91 JACKSON RD, PO BOX 332, GILBERTSVILLE, PA 19525-9529
(610) 367-9191
(610) 369-3931
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03250
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000987979000
—
PA
01
—
14619
HEALTH PARTNERS
—
Enumeration date
09/02/2005
Last updated
02/25/2015
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