Organization
MONT ALTO AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W BAKER (PRESIDENT)
(717) 749-5552
Entity
Organization
Contact information
Practice address
603 S MAIN ST, MONT ALTO, PA 17237-0327
(717) 749-5558
(717) 749-5999
Mailing address
PO BOX 327, MONT ALTO, PA 17237-0327
(717) 749-5558
(717) 749-5999
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016719680001
—
PA
01
—
0035984000
INDEPENDENCE BLUE CROSS
PA
01
—
2462831
AETNA
PA
01
—
280197
HIGHMARK BLUE SHIELD
PA
01
—
36403
HEALTH PARTNERS
PA
01
—
39EA32
CAPITAL BLUE CROSS
GA
05
—
407517000
—
MD
01
—
68743
GEISINGER HEALTH PLAN
GA
05
—
832915182A
—
GA
01
—
95794
HEALTH ASSURANCE
PA
Enumeration date
07/20/2005
Last updated
08/13/2013
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