ICKESBURG AMBULANCE ASSOCIATION; NPI #1023179132

Contact Information

ICKESBURG AMBULANCE ASSOCIATION

10350 RACCOON VALLEY RD
ICKESBURG, PA 17037

Phone: 717-438-3113
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Emergency Medical Technician, Basic	146N00000X

Indicates primary specialty

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NPI Profile & details for ICKESBURG AMBULANCE ASSOCIATION

NPI Number 1023179132

LBN Legal business name ICKESBURG AMBULANCE ASSOCIATION

Authorized official SHANE WOLF - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/12/2006

Last updated 02/10/2012 - About 14 years ago

Identifiers

PA	License #	04274
PA	Medicaid	001437455

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ICKESBURG AMBULANCE ASSOCIATION

Contact Information

Specialty

Emergency Medical Technician, Basic

NPI Profile & details for ICKESBURG AMBULANCE ASSOCIATION

Reviews for ICKESBURG AMBULANCE ASSOCIATION