Organization
KATHLEEN M MINNICH
Active
Other names
Central Medical Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M. MINNICH (OWNER)
(717) 270-1070
Entity
Organization
Contact information
Practice address
201 E PENN AVE, CLEONA, PA 17042-2429
(717) 270-1070
(717) 273-8373
Mailing address
3632 HILL CHURCH RD, LEBANON, PA 17046-9350
(717) 270-1070
(717) 273-8373
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012164090004
—
PA
01
—
1511694
GATEWAY HEALTH
PA
01
—
20007524
AMERIHEALTH
PA
01
—
301298
HEALTH ASSURANCE
PA
Enumeration date
06/16/2005
Last updated
08/04/2016
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