Organization
LAWRENCEVILLE FIREMENS AMBULANCE ASSOCIATION INC
Active
Organization
LAWRENCEVILLE FIREMENS AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY L SIX (TREASURER)
(570) 827-2047
Entity
Organization
Contact information
Practice address
9-11 MECHANIC ST., LAWRENCEVILLE, PA 16929-9768
(570) 827-2047
(570) 827-2010
Mailing address
PO BOX 177, LAWRENCEVILLE, PA 16929-0177
(570) 827-2047
(570) 827-2010
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015602550001
—
PA
01
—
359290
HEALTH AMERICA/HEALTH ASSURANCE
—
01
—
46184
GEISINGER HEALTH PLAN
—
Enumeration date
05/18/2006
Last updated
02/24/2016
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