Jackson Township Volunteer Ambulance Association
NPI #1477598092 in Shavertown, Pennsylvania
Provider Information
- NPI Number
- 1477598092
- Entity Type
- Organization
- Organization Name
- Jackson Township Volunteer Ambulance Association
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Jun 18, 2006
- Last Updated
- May 22, 2008
Practice Location
- Address
- 1160 CHASE RD
- City
- Shavertown
- State
- Pennsylvania
- ZIP Code
- 18708-9504
- Phone
- (570) 696-4544
Authorized Official
- Name
- BRIAN L TITUS
- Title
- PRESIDENT
- Phone
- (570) 696-4544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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