Organization
KETTLE CREEK AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DINGMAN EMT (PRESIDENT)
(570) 923-2111
Entity
Organization
Contact information
Practice address
7 FIREHOUSE LANE, CROSS FORK, PA 17729-0289
(570) 923-2111
(570) 923-9900
Mailing address
PO BOX 289, CROSS FORK, PA 17729-0289
(570) 923-2111
(570) 923-9900
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021552940001
—
PA
Enumeration date
06/21/2007
Last updated
08/29/2008
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