Organization
PERKASIE COMMUNITY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MADDOX (PRESIDENT)
(215) 257-9155
Entity
Organization
Contact information
Practice address
500 S 9TH ST, PERKASIE, PA 18944-1008
(215) 257-9155
(215) 257-3300
Mailing address
PO BOX 195, PERKASIE, PA 18944-0195
(215) 257-9155
(215) 257-3300
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012354220002
—
PA
01
—
0472184
AETNA HEALTH
PA
01
—
0748742000
KEYSTONE HEALTH PLAN EAST
PA
01
—
232748
BLUECROSS/BLUE SHIELD
PA
01
—
30005909
KEYSTONE MERCY HEALTH PLA
PA
Enumeration date
02/13/2006
Last updated
08/22/2020
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