Organization
WEST SCHUYLKILL ADVANCED LIFE SUPPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY HODGSON (PRESIDENT)
(570) 695-2500
Entity
Organization
Contact information
Practice address
49 NORTH ST, TREMONT, PA 17981-1526
(570) 695-2500
(570) 695-3361
Mailing address
PO BOX 539, MECHANICSBURG, PA 17055-0539
(717) 938-1690
(717) 938-1690
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04256
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015876400003
—
PA
Enumeration date
11/12/2005
Last updated
08/09/2012
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