Organization
CONEMAUGH VALLEY REGIONAL AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W RYKALA (PRESIDENT)
(814) 659-6555
Entity
Organization
Contact information
Practice address
1125 MAIN ST, JOHNSTOWN, PA 15909-2016
(814) 535-5300
(724) 234-4703
Mailing address
892 NEW CASTLE RD, SLIPPERY ROCK, PA 16057-4228
(800) 280-5974
(814) 535-5300
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019174400001
—
PA
01
—
080042700
FED BLACK LUNG
PA
01
—
1401311
HIGHMARK
PA
01
—
590015282
RAILROAD MEDICARE
PA
Enumeration date
04/19/2006
Last updated
04/08/2024
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