Organization
COALDALE COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ERBE (CEO)
(570) 645-7927
Entity
Organization
Contact information
Practice address
300 W WATER ST, COALDALE, PA 18218-1153
(570) 645-7927
Mailing address
300 W WATER ST, COALDALE, PA 18218-1153
(570) 645-7927
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011561960004
—
PA
01
—
088224300
FEDERAL BLACK LUNG
PA
Enumeration date
09/27/2006
Last updated
05/16/2008
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