Organization
EXETER COMMUNITY AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MCNEIL (PRESIDENT)
(570) 237-1090
Entity
Organization
Contact information
Practice address
1091 WYOMING AVE., EXETER, PA 18643-1915
(570) 655-3771
(570) 602-9907
Mailing address
1091 WYOMING AVE., EXETER, PA 18643-1915
(570) 655-3771
(570) 602-9907
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015112110001
—
PA
01
—
800371
FEDERAL BLACK LUNG
—
Enumeration date
11/22/2006
Last updated
09/22/2008
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