Organization
EDWARDSVILLE VOLUNTEER FIREMENS COMMUNITY AMBULANCE ASSOCIATION
Active
Organization
EDWARDSVILLE VOLUNTEER FIREMENS COMMUNITY AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S LEONARD (PRESIDENT)
(570) 288-8464
Entity
Organization
Contact information
Practice address
470 MAIN ST, EDWARDSVILLE, PA 18704-3275
(570) 288-8464
Mailing address
470 MAIN ST, EDWARDSVILLE, PA 18704-3275
(570) 288-8464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012401190002
—
PA
Enumeration date
11/22/2006
Last updated
05/14/2009
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