Ickesburg Ambulance Association
NPI #1023179132 in Ickesburg, Pennsylvania
Provider Information
- NPI Number
- 1023179132
- Entity Type
- Organization
- Organization Name
- Ickesburg Ambulance Association
- Primary Specialty
- Emergency Medical Technician, Basic
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Feb 10, 2012
Practice Location
- Address
- 10350 RACCOON VALLEY RD
- City
- Ickesburg
- State
- Pennsylvania
- ZIP Code
- 17037
- Phone
- (717) 438-3113
Authorized Official
- Name
- SHANE M WOLF
- Title
- PRESIDENT
- Phone
- (717) 438-0384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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