Organization
BLOOMSBURG VOLUNTEER AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNE R BROPHY (PRESIDENT)
(570) 784-6237
Entity
Organization
Contact information
Practice address
307 E MAIN ST, BLOOMSBURG, PA 17815-1870
(570) 784-6237
Mailing address
307 E MAIN ST, BLOOMSBURG, PA 17815-1870
(570) 784-6237
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023714680001
—
PA
Enumeration date
08/20/2009
Last updated
08/23/2016
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