Organization
WEST HAZLETON COMMUNITY AMBULANCE ASSN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M. LONGAZEL (PRESIDENT)
(570) 459-0310
Entity
Organization
Contact information
Practice address
111 E. CRANBERRY AVE., WEST HAZELTON, PA 18202-3845
(570) 455-5221
(570) 455-1207
Mailing address
111 E. CRANBERRY AVE., WEST HAZELTON, PA 18202-3845
(570) 455-5221
(570) 455-1207
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011469300005
—
PA
Enumeration date
08/18/2005
Last updated
01/09/2014
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