Organization
WIND GAP AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY ZELENA (AUTHORIZED OFFICIAL)
(610) 863-7623
Entity
Organization
Contact information
Practice address
547 E WEST ST, WIND GAP, PA 18091-1255
(610) 863-7623
(610) 863-7647
Mailing address
547 E WEST ST, WIND GAP, PA 18091-1255
(610) 863-7623
(610) 863-7647
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05180
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012412600007
—
PA
01
—
50003082
COMMERCIAL BLE CROSS
—
Enumeration date
01/11/2007
Last updated
02/25/2020
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