MIDDLEBURY AMBULANCE ASSOCIATION INC; NPI #1184025983

Contact Information

MIDDLEBURY AMBULANCE ASSOCIATION INC

11747 ROUTE 287
MIDDLEBURY CENTER, PA 16935

Phone: 570-376-3831
Fax: 570-376-2370
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 MIDDLEBURY AMBULANCE ASSOCIATION INC

NPI # 1184025983

LBN Legal business name MIDDLEBURY AMBULANCE ASSOCIATION INC

Authorized official GARY RICE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/11/2014

Last updated 08/01/2016 - About 10 years ago

Identifiers

Medicaid

1030004910001

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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