Organization
TREVORTON COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE G GEISE (PRESIDENT)
(570) 797-8411
Entity
Organization
Contact information
Practice address
510 W MARKET ST, TREVORTON, PA 17881-1409
(570) 797-4850
(570) 797-4850
Mailing address
510 W MARKET ST, TREVORTON, PA 17881-1409
(570) 797-4850
(570) 797-4850
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025938690001
—
PA
Enumeration date
03/01/2011
Last updated
12/08/2014
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