Organization
TWIN CREEKS COMMUNITY VOLUNTEER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COFFMAN (TREASURER)
(814) 667-3533
Entity
Organization
Contact information
Practice address
4814 SHAVERS CREEK RD, PETERSBURG, PA 16669-3630
(814) 667-3533
(814) 667-3103
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001633967
—
PA
Enumeration date
08/18/2005
Last updated
10/26/2011
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