Organization
NOXEN COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W WOMER (PRESIDENT)
(570) 298-0905
Entity
Organization
Contact information
Practice address
142 ELIZABETH ST, NOXEN, PA 18636-7723
(570) 298-0905
Mailing address
142 ELIZABETH ST, NOXEN, PA 18636-7723
(570) 298-0905
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022706800001
—
PA
Enumeration date
01/07/2009
Last updated
12/17/2010
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