Organization
TRI TOWN AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM TELLER (PRESIDENT)
(814) 848-9905
Entity
Organization
Contact information
Practice address
810 STATE ROUTE 49 W, ULYSSES, PA 16948-9422
(814) 848-7611
(814) 848-9642
Mailing address
PO BOX 247, ULYSSES, PA 16948-0247
(814) 848-7611
(814) 848-9642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028525950001
—
PA
Enumeration date
03/20/2013
Last updated
09/06/2024
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