Jefferson Township Volunteer Ambulance

LBN: Jefferson Township Volunteer Ambulance
Jefferson Township Volunteer Ambulance is an health care organization with primary practice located at 1980 Moosic Lake Rd , Jefferson Township PA 18436-3203. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Jefferson Township Volunteer Ambulance can be contacted via phone (570) 698-0479, or through Corallo, Daniel via phone (570) 840-4057.

Contact Information

Primary practice address
1980 Moosic Lake Rd Jefferson Township PA 18436-3203
Phone: (570) 698-0479
Fax: (570) 689-4703
Website:
Map and Directions
Authorized official contact:
Name: Corallo, Daniel
Phone: (570) 840-4057

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 98322 Pennsylvania

Profile Details

NPI number 1952461105
LBN Legal business name Jefferson Township Volunteer Ambulance
DBA Doing business as
Authorized official Corallo, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 2nd, 2020 - about 4 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 1952461105 NPPES
Pennsylvania MEDICAID 0012569140002

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