Organization
WAKEFIELD AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SLAUCH (TREASURER)
(717) 464-0724
Entity
Organization
Contact information
Practice address
2272 ROBERT FULTON HWY, PEACH BOTTOM, PA 17563-9701
(717) 955-0152
(717) 955-0153
Mailing address
PO BOX 86, PEACH BOTTOM, PA 17563-0086
(717) 464-0724
(717) 464-9775
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
03377
PA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007063610005
—
PA
01
—
0706361
UPMC
—
01
—
590009341
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
05/28/2024
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