Organization
PORTAGE AREA AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RIMINI (BUSINESS MANAGER)
(814) 241-9663
Entity
Organization
Contact information
Practice address
655 NORTH RAILROAD AVE, PORTAGE, PA 15946-0237
(814) 241-9663
(724) 794-1633
Mailing address
P O BOX 237, PORTAGE, PA 15946-0237
(800) 280-5974
(724) 794-1633
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05114
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001609595 0003
—
PA
Enumeration date
02/23/2007
Last updated
07/17/2020
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