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Organization

KNOX AREA VOL AMBULANCE CO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA DIANNE SCHREFFLER (CHIEF/ EMT-P)
(814) 797-1263
Entity
Organization

Contact information

Practice address
342 MAIN & RAILROAD, KNOX, PA 16232
(814) 797-1263
(814) 797-1264
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03014
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007803870001
PA
01
1495900
AETNA USHC BLUE BELL HMO
01
283523
BCBS OF PA BLUE SHIELD
01
306597
UPMC HEALTH PLAN COMMERIC
01
441590609
UNITED HC RR MEDICARE
01
P025688
TRICARE NORTHEAST
Enumeration date
09/23/2005
Last updated
04/09/2012
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