COMMUNITY AMBULANCE SERVICE CLUB; NPI #1962538900

Contact Information

COMMUNITY AMBULANCE SERVICE CLUB

633 EAST COLLIERY AVENUE
TOWER CITY, PA 17980

Phone: 717-943-8013
Fax: 717-647-2546
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 COMMUNITY AMBULANCE SERVICE CLUB

NPI Number 1962538900

LBN Legal business name COMMUNITY AMBULANCE SERVICE CLUB

Authorized official JEREMIAH DEITER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/26/2007

Last updated 09/15/2015 - About 11 years ago

Identifiers

PA	License #	04141
PA	Medicaid	0012143980004
PA	Other	20018661	AMERIHEALTH MERCY
PA	Other	893120	BLACK LUNG PROGRAM
PA	Other	50004678	CAPITAL BLUE CROSS
PA	Other	50004678	KEYSTONE SENIOR BLUE
PA	Other	590007322	RR MEDICARE
PA	Other	0130130	THREE RIVERS

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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COMMUNITY AMBULANCE SERVICE CLUB

Contact Information

Specialty

Land Transport

NPI Profile & details for COMMUNITY AMBULANCE SERVICE CLUB

Reviews for COMMUNITY AMBULANCE SERVICE CLUB