Organization
EBENSBURG AREA AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A BLAKE NRP,CCEMTP (EXECUTIVE DIRECTOR)
(814) 472-6700
Entity
Organization
Contact information
Practice address
800 W HIGH ST, EBENSBURG, PA 15931-1804
(814) 472-6700
(814) 472-9583
Mailing address
800 W HIGH ST, EBENSBURG, PA 15931-1804
(814) 472-6700
(814) 472-9583
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06096
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010086670002
—
PA
05
—
0010086670003
—
PA
Enumeration date
01/04/2006
Last updated
04/03/2017
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