Organization
AMBULANCE CORPS OF PORTLAND & VICINITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY K GARY (OFFICE MANAGER/VICE PRESIDENT)
(570) 897-6366
Entity
Organization
Contact information
Practice address
106 STATE ST, PORTLAND, PA 18351-0096
(570) 897-6366
(570) 897-0194
Mailing address
PO BOX 96, PORTLAND, PA 18351-0096
(570) 897-6366
(570) 897-0194
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
PA
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
07/21/2022
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