Organization
DUBOIS EMERGENCY MEDICAL SERVICES AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J WILLAR (CEO/PRESIDENT)
(814) 375-1185
Entity
Organization
Contact information
Practice address
103 W WASHINGTON AVE, DU BOIS, PA 15801-2006
(814) 375-1185
(814) 375-4303
Mailing address
PO BOX 333, DU BOIS, PA 15801-0333
(814) 375-1185
(814) 375-4303
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010314870002
—
PA
01
—
1342045
UNITED MINE WORKERS
PA
Enumeration date
11/04/2005
Last updated
05/29/2008
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