Organization
NANTICOKE COMMUNITY AMBULANCE
Active
Organization
NANTICOKE COMMUNITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD J NORIEKA (PRESIDENT)
(570) 735-5201
Entity
Organization
Contact information
Practice address
901 S HANOVER ST, NANTICOKE, PA 18634-3107
(570) 735-5201
Mailing address
901 S HANOVER ST, NANTICOKE, PA 18634-3107
(570) 735-5201
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012655480006
—
PA
01
—
077655
FIRST PRIORITY HEALTH
PA
01
—
899989
FEDERAL BLACK LUNG
—
Enumeration date
12/06/2006
Last updated
04/25/2016
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