Organization
GOODWILL HOSE COMPANY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SHAINLINE (CHIEF OF OPERATIONS)
(570) 748-9022
Entity
Organization
Contact information
Practice address
512 CANAL ST, FLEMINGTON, PA 17745-3714
(570) 748-9022
(570) 748-0174
Mailing address
PO BOX 18537, PLEASANT HILLS, PA 15236-0537
(800) 521-0671
(724) 234-4703
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
033166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007464380001
—
PA
Enumeration date
05/15/2007
Last updated
10/29/2025
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