Organization
BIG VALLEY AMBULANCE CLUB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY C BYLER EMT (PRESIDENT)
(717) 935-2290
Entity
Organization
Contact information
Practice address
4371 E MAIN ST, BELLEVILLE, PA 17004-9256
(717) 935-2317
(717) 935-2317
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017718560001
—
PA
01
—
0289335
KEYSTONE HP CTRL HMO MDC
—
01
—
2346118
AETNA USHC BLUE BELL HMO
—
01
—
289335
BCBS OF PA
PA
01
—
46137
GHP
—
01
—
590007653
UNITED HC RR MEDICARE
—
Enumeration date
09/23/2005
Last updated
12/28/2012
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