Laceyville Ambulance Association
NPI #1215120019 in Laceyville, Pennsylvania
Provider Information
- NPI Number
- 1215120019
- Entity Type
- Organization
- Organization Name
- Laceyville Ambulance Association
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Oct 14, 2009
Practice Location
- Address
- 12 EAST MAIN STREET
- City
- Laceyville
- State
- Pennsylvania
- ZIP Code
- 18623
- Phone
- (570) 282-5652
Authorized Official
- Name
- MR. ERIC RYAN SHAFER
- Title
- CAPTAIN
- Phone
- (570) 869-2778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
| Ambulance - Land Transport — Land Transport |
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