Organization
ASHLEY AMBULANCE ASSOCIATION
Active
Organization
ASHLEY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HOLLAND (TREASURER)
(570) 714-3694
Entity
Organization
Contact information
Practice address
8 N MAIN ST, ASHLEY, PA 18706-2202
(570) 714-3694
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04206
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008655460001
—
PA
01
—
800419
FEDERAL BLACK LUNG
—
Enumeration date
11/22/2006
Last updated
08/22/2020
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