Organization
WATTSBURG HOSE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J SCHMITT (PRESIDENT)
(814) 739-9411
Entity
Organization
Contact information
Practice address
14415 MAIN ST, WATTSBURG, PA 16442-0186
(814) 739-9411
(814) 739-2929
Mailing address
PO BOX 186, WATTSBURG, PA 16442-0186
(814) 739-9411
(814) 739-2929
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03381
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007005000002
—
PA
01
—
284312
BLUE CROSS/BLUE SHIELD
PA
01
—
344806
HEALTH ASSURANCE/AMER.
PA
Enumeration date
02/15/2006
Last updated
02/22/2013
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