Organization
CANADOCHLY VALLEY AMBULANCE CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED PEASHEY (PRESIDENT)
(717) 252-2387
Entity
Organization
Contact information
Practice address
45 S MAIN ST, EAST PROSPECT, PA 17317
(717) 252-2387
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05020
PA
Other
Enumeration date
09/16/2005
Last updated
08/22/2020
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