Organization
SHAWNEE VALLEY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E STULTZ (OFFICE MANAGER)
(814) 733-4595
Entity
Organization
Contact information
Practice address
166 VALLEY RD, SCHELLSBURG, PA 15559-0008
(814) 733-4595
(814) 733-2451
Mailing address
PO BOX 8, 166 VALLEY ROAD, SCHELLSBURG, PA 15559-0008
(814) 733-4595
(814) 733-2451
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05000801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006999640001
—
PA
01
—
590000320
RAILROAD MEDICARE
—
Enumeration date
11/13/2006
Last updated
08/13/2021
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