Organization
BARRETT TOWNSHIP AMBULANCE CORPS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MICK (ADMINISTRATOR)
(570) 595-7621
Entity
Organization
Contact information
Practice address
ROUTE 191, MOUNTAINHOME, PA 18324
(570) 595-7621
Mailing address
PO BOX 105, CRESCO, PA 18326-0105
(570) 595-7621
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007002140001
—
PA
01
—
335965
HEALTH AMERICA
PA
01
—
998526
BLUE CROSS NEPA
PA
Enumeration date
12/19/2006
Last updated
08/31/2007
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