Ickesburg Ambulance Association

LBN: Ickesburg Ambulance Association
Ickesburg Ambulance Association is an health care organization with primary practice located at 10350 Raccoon Valley Rd , Ickesburg PA 17037. The organization recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as the primary health care specialty. Ickesburg Ambulance Association can be contacted via phone (717) 438-3113, or through Wolf, Shane M via phone (717) 438-0384.

Contact Information

Primary practice address
10350 Raccoon Valley Rd Ickesburg PA 17037
Phone: (717) 438-3113
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolf, Shane M
Phone: (717) 438-0384

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 04274 Pennsylvania

Profile Details

NPI number 1023179132
LBN Legal business name Ickesburg Ambulance Association
DBA Doing business as
Authorized official Wolf, Shane M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 10th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023179132 NPPES
Pennsylvania MEDICAID 001437455

Popular Providers