Organization
KINGSTON TOWNSHIP AMBULANCE AND RESCUE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P LANDMESSER (TREASURER)
(570) 696-3776
Entity
Organization
Contact information
Practice address
200 E CENTER ST, SHAVERTOWN, PA 18708-1538
(570) 696-3776
Mailing address
200 E CENTER ST, SHAVERTOWN, PA 18708-1538
(570) 696-3776
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012293270001
—
PA
01
—
080793300
FEDERAL BLACK LUNG PROG
PA
01
—
284027
HIGHMARK BS
PA
01
—
998558
BLUE CROSS NEPA
PA
Enumeration date
07/19/2006
Last updated
05/29/2009
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