Old Forge Ambulance & Rescue Association
Organization Active NPI Land Ambulance · Old Forge, PA
NPI 1235346552 · NPPES record last updated Dec 23, 2014
Key facts
- NPI
- 1235346552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 05134 (PA)
- Legal business name
- OLD FORGE AMBULANCE & RESCUE ASSOCIATION
- Practice address
- 239 Railroad St
Old Forge, PA 18518-2003 - Phone
- (570) 457-9693
- Fax
- (570) 504-8343
- NPI assigned
- May 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert Gotay
- Title
- Treasurer
- Phone
- (570) 457-9693
National Provider Directory
Locations
239 Railroad St
Old Forge, PA 18518
Phone (570) 457-9693
945 S Main St
Old Forge, PA 18518
Phone (717) 282-6337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05134 | PA | Yes |
Addresses
Primary practice location
239 Railroad St
Old Forge, PA 18518-2003
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007073 | Other | PA | RAILROAD MEDICARE |
| 0012373830004 | Medicaid | PA | |
| 801316 | Other | PA | FEDERAL BLACK LUNG |
Other providers in Old Forge, PA
- NCHS, Inc.
- Nicole Dunbar Brush
- Noskco Inc
- Robert James Notari
- Thomas Michael Nowakowski Jr.
- Old Forge Chiropractic & Rehabilitation, P.C.
- Old Forge School District
- Old Forge Wellness LLC
- Sharon Palushock
- Stephen Robert Paranich
All providers in Old Forge, PA · Land Ambulance in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.