Organization
OLYPHANT COMMUNITY AMBULANCE ASSOC AND RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER A TARAMELLI (PRESIDENT)
(570) 489-5054
Entity
Organization
Contact information
Practice address
530 PARK ST, OLYPHANT, PA 18447-1902
(570) 489-5054
(570) 307-0802
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03371
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009478620003
—
PA
01
—
080028000
BLACK LUNG
—
01
—
0941862
GATEWAY
—
01
—
283298
BCBS OF NEPA
—
01
—
45567
GEISINGER
—
Enumeration date
07/03/2006
Last updated
04/25/2025
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