Organization
LUZERNE COMMUNITY AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE H SPANGENBERG (PRESIDENT)
(570) 331-3522
Entity
Organization
Contact information
Practice address
144 ACADEMY ST, LUZERNE, PA 18709-1424
(570) 331-3522
Mailing address
PO BOX 32, LUZERNE, PA 18709-0032
(570) 331-3522
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014093340003
—
PA
01
—
280738
HIGHMARK BS
PA
01
—
998542
BLUE CROSS NEPA
PA
Enumeration date
07/21/2006
Last updated
08/22/2020
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