Organization
HUNTINGDON AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GUTSHALL (ADMINISTRATOR)
(814) 643-6551
Entity
Organization
Contact information
Practice address
411 10TH STREET, HUNTINGDON, PA 16652-0000
(814) 643-6551
Mailing address
PO BOX 16, HUNTINGDON, PA 16652-0016
(814) 643-6551
(814) 643-2644
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019206330006
—
PA
01
—
0036315000
KEYSTONE HP EAST COMM.
—
01
—
248541
BCBS OF PA BLUE SHIELD
PA
01
—
590015316
UNITED HC RR MEDICARE
—
Enumeration date
11/04/2005
Last updated
08/31/2015
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