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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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