Organization
CENTRAL POCONO AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN DE RENZIS (PRESIDENT)
(570) 629-2620
Entity
Organization
Contact information
Practice address
RT 611, TANNERSVILLE, PA 18372
(570) 629-2620
(570) 629-3508
Mailing address
PO BOX 138, TANNERSVILLE, PA 18372
(570) 629-2620
(570) 629-3508
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011181770001
—
PA
Enumeration date
08/09/2006
Last updated
12/15/2010
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