Healthcare Provider Details

I. General information

NPI: 1588767552
Provider Name (Legal Business Name): CAMBRIDGE AREA VOLUNTEER AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 VENANGO AVE
CAMBRIDGE SPRINGS PA
16403-1040
US

IV. Provider business mailing address

202 VENANGO AVE
CAMBRIDGE SPRINGS PA
16403-1040
US

V. Phone/Fax

Practice location:
  • Phone: 814-398-4116
  • Fax:
Mailing address:
  • Phone: 814-398-4116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SANDRA S RILEY
Title or Position: PRESIDENT
Credential:
Phone: 814-398-4116