Organization
MAHONING VALLEY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WALTER MILLER JR. (TREASURER)
(570) 386-5800
Entity
Organization
Contact information
Practice address
902 MILL RD, LEHIGHTON, PA 18235-9667
(570) 386-2518
(570) 386-3268
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012008100001
—
PA
01
—
0930709
AETNA USHC BLUE BELL HMO
—
01
—
1144160
KEYSTON MERCY HMO DPA
—
01
—
281283
BC BS OF PA BLUE SHIELD
—
01
—
441590544
UNITED HC RR MEDICARE
—
01
—
812110
FIRST PRIORITY HEALTH
—
01
—
833808
UMWA HEALTH & RETIREMENT
—
Enumeration date
09/30/2005
Last updated
09/26/2008
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