Coudersport Volunteer Ambulance Association

LBN: Coudersport Volunteer Ambulance Association
Coudersport Volunteer Ambulance Association is an health care organization with primary practice located at 122 E 2Nd St , Coudersport PA 16915-1750. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Coudersport Volunteer Ambulance Association can be contacted via phone (814) 274-7411, or through Bruno, Kelly via phone (814) 274-7411.

Contact Information

Primary practice address
122 E 2Nd St Coudersport PA 16915-1750
Fax: (814) 274-9344
Website:
Authorized official contact:
Name: Bruno, Kelly

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 00231 Pennsylvania

Profile Details

NPI number 1891773909
LBN Legal business name Coudersport Volunteer Ambulance Association
DBA Doing business as
Authorized official Bruno, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Apr 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891773909 NPPES
Pennsylvania Other 590004818 RR MEDICARE/PALMETTO GBA
Pennsylvania Other 288959 RR MEDICARE/PALMETTO GBA
Pennsylvania MEDICAID 0007005190005 RR MEDICARE/PALMETTO GBA

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