Pine Grove Community Ambulance Association

NPI #1023147931 in Pine Grove, Pennsylvania

Provider Information

NPI Number
1023147931
Entity Type
Organization
Organization Name
Pine Grove Community Ambulance Association
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Mar 5, 2007
Last Updated
Jul 2, 2010

Practice Location

Address
46 SPRUCE STREET
ZIP Code
17963-1715
Phone
(570) 345-3004

Authorized Official

Name
MR. DAVID T. LUKASEWICZ
Title
PRESIDENT
Phone
(570) 617-4002

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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