Organization
GREAT VALLEY AMBULANCE SQUAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STEVEN HAGERTY MHA (OWNER/CFO)
(570) 295-5386
Entity
Organization
Contact information
Practice address
5 LEHIGH AVE STE B, JIM THORPE, PA 18229-1200
(570) 295-5386
Mailing address
5 LEHIGH AVE STE B, JIM THORPE, PA 18229-1200
(570) 295-5386
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
04/11/2025
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