Exeter Community Ambulance Assoc

Organization Active NPI Land Ambulance · Exeter, PA

NPI 1821163080 · NPPES record last updated Sep 22, 2008

Key facts

NPI
1821163080
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
EXETER COMMUNITY AMBULANCE ASSOC
Practice address
1091 Wyoming Ave.
Exeter, PA 18643-1915
Phone
(570) 655-3771
Fax
(570) 602-9907
NPI assigned
Nov 22, 2006
Organization subpart
No

Authorized official

Name
Richard McNeil
Title
President
Phone
(570) 237-1090

National Provider Directory

Locations

1091 Wyoming Ave
Exeter, PA 18643
Phone (570) 654-1202

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Yes

Addresses

Primary practice location

1091 Wyoming Ave.
Exeter, PA 18643-1915

Mailing address

1091 Wyoming Ave.
Exeter, PA 18643-1915
Phone (570) 655-3771

Other identifiers

IdentifierTypeStateIssuer
800371OtherFEDERAL BLACK LUNG
0015112110001MedicaidPA

Other providers in Exeter, PA

All providers in Exeter, PA · Land Ambulance in Pennsylvania

Sources for this page

Verify at the official NPI Registry.