Organization
TIONESTA AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E WAGNER (PRESIDENT)
(814) 755-7726
Entity
Organization
Contact information
Practice address
648 ELM STREET, TIONESTA, PA 16353-0157
(814) 673-8095
(724) 794-1633
Mailing address
PO BOX 157, TIONESTA, PA 16353-0157
(814) 673-8095
(724) 794-1633
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015664610003
—
PA
01
—
284296
HIGHMARK
PA
01
—
590012708
RAILROAD MEDICARE
PA
Enumeration date
11/29/2006
Last updated
08/19/2025
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