Ickesburg Ambulance Association

NPI 1023179132 - Emergency Medical Technician, Basic - 146N00000X

NPI Details
NPI 1023179132
Enumeration Date 12/12/2006
Last Updated 02/10/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHANE M SHANE
Position PRESIDENT
Phone (717) 438-3113
Fax
Practice Location
10350 RACCOON VALLEY RD
ICKESBURG PA, 17037, US
Phone (717) 438-3113
Fax
Business Location
PO BOX 163
ICKESBURG PA, 17037-0163, US
Phone (717) 438-3113
Fax
Toxanomy
Taxonomy Code 146N00000X
License State Pennsylvania
License Number 04274
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According to our database, Ickesburg Ambulance Association NPI is 1023179132, taxonomy code is 146N00000X and license number is 04274, license state is located at Pennsylvania. Ickesburg Ambulance Association physically located at 10350 Raccoon Valley Rd, Ickesburg PA, 17037. NPI Number 1033115704 has the healthcare provider type.

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1023179132 NPI number is provided on an as is basis without warranty of any kind. 1023179132 is maintained by the National Plan & Provider Enumeration System. The contents of Ickesburg Ambulance Association are for informational purposes only.