Healthcare Provider Details

I. General information

NPI: 1750364733
Provider Name (Legal Business Name): REYNOLDSVILLE AREA AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 E MAIN ST
REYNOLDSVILLE PA
15851-1246
US

IV. Provider business mailing address

PO BOX 247
REYNOLDSVILLE PA
15851-0247
US

V. Phone/Fax

Practice location:
  • Phone: 814-653-8746
  • Fax: 814-653-8746
Mailing address:
  • Phone: 814-653-8746
  • Fax: 814-653-8746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANIEL J. STITT
Title or Position: PRESIDENT
Credential:
Phone: 814-653-8746