Organization
FOREST CITY AREA VOLUNTEER AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PRINCE SR. (PRESIDENT)
(570) 785-5025
Entity
Organization
Contact information
Practice address
345 DELAWARE STREET REAR, FOREST CITY, PA 18421-1403
(570) 785-5025
(570) 785-2369
Mailing address
PO BOX 151, FOREST CITY, PA 18421-0151
(570) 785-5025
(570) 785-2369
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007657830002
UNISON -THREE RIVERS
PA
05
—
0007657830002
—
PA
01
—
075242
FIRST PRIORITY HEALTH
PA
01
—
30447
GEISINGER HEALTH PLAN
PA
Enumeration date
09/20/2006
Last updated
08/22/2020
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