Organization
KULPMONT COMMUNITY AMB ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD R OHEARN EMT (TREASURER)
(570) 373-1103
Entity
Organization
Contact information
Practice address
12 N 8TH ST, KULPMONT, PA 17834-1343
(570) 373-1103
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
(484) 664-2017
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012017920004
PA MEDICAID
—
01
—
0820315
AETNA USHC BLUE BELL HMO
—
01
—
214022
BC BS OF PA BLUE SHIELD
—
01
—
804534
UMWA HEALTH & RETIREMENT
—
01
—
811890
FIRST PRIORITY HEALTH
—
Enumeration date
09/23/2005
Last updated
09/28/2007
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