Organization
GREATER WEATHERLY AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL KRUPP (BILLING MANAGER)
(610) 376-2007
Entity
Organization
Contact information
Practice address
400 CARBON ST, WEATHERLY, PA 18255-1423
(570) 427-8772
(570) 427-3591
Mailing address
400 CARBON ST, P.O. BOX 98, WEATHERLY, PA 18255-1423
(570) 427-8772
(570) 427-3591
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010288750003
—
PA
01
—
053526
FIRST PRIORITY HEALTH
PA
01
—
282422
ACCESS CARE II
PA
Enumeration date
07/28/2006
Last updated
03/05/2013
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