Organization
BERWICK AREA AMBULANCE ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO C VENDITTI (PRESIDENT)
(570) 752-5321
Entity
Organization
Contact information
Practice address
2018 N VINE ST, BERWICK, PA 18603-1349
(570) 752-5321
Mailing address
2018 N VINE ST, BERWICK, PA 18603-1349
(570) 752-5321
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015340470002
—
PA
01
—
083417400
FEDERAL BLACK LUNG PROGRA
PA
01
—
156906
PREFERRED CARE
PA
01
—
20019923
AMERIHEALTH MERCY
PA
01
—
280729
HIGHMARK BLUE SHIELD
PA
01
—
335158
HEALTH ASSURANCE
PA
01
—
P025003
TRICARE CHAMPUS
PA
Enumeration date
07/11/2006
Last updated
05/16/2008
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