Healthcare Provider Details

I. General information

NPI: 1114900156
Provider Name (Legal Business Name): DAYTON AREA AMB SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S STATE ST
DAYTON PA
16222-5822
US

IV. Provider business mailing address

212 S STATE ST
DAYTON PA
16222-5822
US

V. Phone/Fax

Practice location:
  • Phone: 814-257-9911
  • Fax: 814-257-9911
Mailing address:
  • Phone: 814-257-9911
  • Fax: 814-257-9911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number02186
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number02186
License Number StatePA

VIII. Authorized Official

Name: JONATHAN L STOCKDALE
Title or Position: MANAGER
Credential:
Phone: 814-257-9911