Organization
LOWER ALSACE VOLUNTEER AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL WENTZEL (OPERATIONS MANAGER)
(610) 779-0190
Entity
Organization
Contact information
Practice address
750 N 25TH ST, READING, PA 19606-1400
(610) 779-0190
(610) 779-9143
Mailing address
750 N 25TH ST, READING, PA 19606-1400
(610) 779-0190
(610) 779-9143
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011361200005
—
PA
01
—
0093888000
INDEPENDENCE BLUE CROSS
PA
01
—
209088
HIGH MARK BLUE SHIELD
PA
01
—
50006179
CAPITAL BLUE CROSS
PA
01
—
590010476
PALMETTO GBA MEDICARE RAI
PA
Enumeration date
03/15/2007
Last updated
02/16/2012
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