Pond Hill Lily Lake Ambulance Association

LBN: Pond Hill Lily Lake Ambulance Association
Pond Hill Lily Lake Ambulance Association is an health care organization with primary practice located at 421 Pond Hill Mountain Rd , Wapwallopen PA 18660-1214. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Pond Hill Lily Lake Ambulance Association can be contacted via phone (570) 379-2292, or through Balliet, Mary I via phone (570) 379-2292.

Contact Information

Primary practice address
421 Pond Hill Mountain Rd Wapwallopen PA 18660-1214
Phone: (570) 379-2292
Fax: (570) 379-2292
Website:
Map and Directions
Authorized official contact:
Name: Balliet, Mary I
Phone: (570) 379-2292

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1073553822
LBN Legal business name Pond Hill Lily Lake Ambulance Association
DBA Doing business as
Authorized official Balliet, Mary I
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 22nd, 2015 - about 9 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 1073553822 NPPES
Pennsylvania MEDICAID 103047580001
Pennsylvania Other 610492700
Pennsylvania Other 289707
Pennsylvania Other 998574

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