TRI TOWN AMBULANCE ASSOCIATION; NPI #1174539977

Contact Information

TRI TOWN AMBULANCE ASSOCIATION

810 STATE ROUTE 49 WEST
ULYSSES, PA 16948

Phone: 814-848-7565
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for TRI TOWN AMBULANCE ASSOCIATION

NPI Number 1174539977

LBN Legal business name TRI TOWN AMBULANCE ASSOCIATION

Authorized official GARY ERWAY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/01/2006

Last updated 12/18/2007 - About 18 years ago

Identifiers

PA	License #	06052
PA	Medicaid	1011305400001

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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