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Organization

TIONESTA AMBULANCE SERVICE, INC

Active
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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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