Organization
GREATER PITTSTON AMBULANCE
Active
Other names
Greater Pittston Ambulance & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK ROMAN (PRESIDENT)
(570) 406-8903
Entity
Organization
Contact information
Practice address
83 S MAIN ST, PITTSTON, PA 18640-1700
(570) 654-2525
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04187
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014716080002
—
PA
01
—
807923
FEDERAL BLACK LUNG
—
01
—
880086218
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
10/09/2013
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