Organization
IRVONA VOLUNTEER AMBULANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF KENNEDY (AMBULANCE SUPERVISOR / TREASURER)
(814) 672-3751
Entity
Organization
Contact information
Practice address
130 JULIA STREET, IRVONA, PA 16656-0151
(814) 672-3751
(814) 672-3751
Mailing address
PO BOX 151, IRVONA, PA 16656-0151
(814) 672-3751
(814) 672-3751
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05088 PA DEPT OF HEA
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076602280002
—
PA
01
—
239396
HIGHMARK
PA
01
—
30514
GEISINGER
PA
01
—
610409400
D O L
PA
01
—
707131
UPMC
PA
Enumeration date
01/24/2006
Last updated
09/28/2011
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