Healthcare Provider Details

I. General information

NPI: 1528054699
Provider Name (Legal Business Name): HANOVER TOWNSHIP COMMUNITY AMBULANCE ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CENTER ST
HANOVER TOWNSHIP PA
18706-5034
US

IV. Provider business mailing address

PO BOX 207
ALLENTOWN PA
18105-0207
US

V. Phone/Fax

Practice location:
  • Phone: 570-825-1266
  • Fax: 570-970-9830
Mailing address:
  • Phone: 800-473-2278
  • Fax: 484-664-2015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number04188
License Number StatePA

VIII. Authorized Official

Name: FRANK D RINKEVICH SR.
Title or Position: FINANCIAL SEC
Credential:
Phone: 570-822-4213