Organization
LACK TUSCARORA EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DAVID YARNALL EMT-B (EMS CHIEF)
(717) 734-3959
Entity
Organization
Contact information
Practice address
9320 ROUTE 75 SOUTH, EAST WATERFORD, PA 17021-0096
(717) 734-3959
(717) 734-9599
Mailing address
PO BOX 98, ENOLA, PA 17025-0098
(717) 728-9223
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05133
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001587256
—
PA
Enumeration date
07/14/2005
Last updated
04/26/2012
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