Organization
COMMUNITY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT FEENSTRA (CHIEF)
(215) 234-9160
Entity
Organization
Contact information
Practice address
209 WALNUT STREET, GREEN LANE, PA 18054
(215) 234-9160
(215) 234-4599
Mailing address
PO BOX 729, GREEN LANE, PA 18054-0729
(215) 234-9160
(215) 234-4599
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04182
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000700303
—
PA
01
—
0049084000
HIGHMARK BLUE SHIELD
PA
01
—
1061883
KEYSTONE MERCY
PA
01
—
568787
AETNA HEALTH PLAN
PA
Enumeration date
01/18/2007
Last updated
11/27/2013
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