Organization
JENKINS TOWNSHIP AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY SARTIN EMT (AMBULANCE CAPTAIN)
(570) 714-3694
Entity
Organization
Contact information
Practice address
2 2ND ST, PORT GRIFFITH, PA 18640-1511
(570) 655-3603
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011173110003
—
PA
01
—
807008
FEDERAL BLACK LUNG
—
Enumeration date
11/22/2006
Last updated
08/22/2020
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