Organization
LOWER KISKI AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLPH POLI (PRESIDENT CEO)
(724) 845-8504
Entity
Organization
Contact information
Practice address
80 KISKI AVENUE, LEECHBURG, PA 15656-0397
(724) 845-8504
(724) 845-8237
Mailing address
80 KISKI AVE, PO BOX 397, LEECHBURG, PA 15656-0397
(724) 845-8504
(724) 845-8237
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05223
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007657920002
—
PA
01
—
05794093
AETNA US HEALTHCARE
—
05
—
1008381
—
PA
01
—
2015876
OHIO CASUALTY GROUP
—
01
—
286034
HIGHMARK
—
01
—
6606
HEALTHAMERICA
—
01
—
C36299
HUMA CLAIMS OFFICE
—
01
—
V0V20X
UPMC
—
Enumeration date
11/08/2006
Last updated
08/08/2008
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