Organization
FRACKVILLE COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO R LUCIANI (FINANCIAL SECRETARY/TREASURER)
(570) 874-2955
Entity
Organization
Contact information
Practice address
52 E ARCH ST, FRACKVILLE, PA 17931-2207
(570) 874-2955
(570) 874-7436
Mailing address
PO BOX 15, FRACKVILLE, PA 17931-0015
(570) 874-2955
(570) 874-7436
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012412880001
—
PA
Enumeration date
05/18/2007
Last updated
04/13/2011
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