Organization
BLOOMSBURG VOLUNTEER AMBULANCE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY G. WAGNER (PRESIDENT)
(570) 387-5140
Entity
Organization
Contact information
Practice address
307 E. MAIN ST., BLOOMSBURG, PA 17815-1870
(570) 387-5140
Mailing address
PO BOX 120, BLOOMSBURG, PA 17815-0120
(570) 387-5140
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
02173
PA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009983640003
—
PA
Enumeration date
01/04/2007
Last updated
08/26/2009
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