Organization
MOUNTAINTP COMMUNITY AMBULANCE
Active
Other names
Mountaintop Area Community Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN HERRON (OFFICE MANAGER/DIRECTOR)
(570) 474-9751
Entity
Organization
Contact information
Practice address
RTE 437-309, MOUNTAIN TOP, PA 18707
(570) 474-2513
(570) 474-2513
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014802690003
—
PA
01
—
0597142
AETNA USHC BLUE BELL HMO
—
01
—
077070
FIRST PRIORITY HEALTH
—
01
—
0X00PA0847
QUALMED
—
01
—
1587077
BCBS OF NE PA ACESS CARE
—
01
—
225955
BC BS OF PA BLUE SHIELD
—
01
—
590008832
UNITED HC RR MEDICARE
—
Enumeration date
10/06/2005
Last updated
11/08/2010
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