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NPI 1003906082

NPI 1003906082 : MUTUAL AID AMBULANCE SERVICE INC. : GREENSBURG, PA

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General NPI Number Information
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    NPI Number           |    1003906082
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUTUAL AID AMBULANCE SERVICE INC. 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    561 W OTTERMAN ST 
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    City                 |    GREENSBURG
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    State                |    PA
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    Zip                  |    15601-2152
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    Country              |    US
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    Telephone            |    724-837-6134
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    Fax                  |    724-834-2810
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Provider Business Mailing Address
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    Address Line         |    561 W OTTERMAN ST P.O. BOX 350
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    City                 |    GREENSBURG
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    State                |    PA
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    Zip                  |    15601-2152
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    Country              |    US
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    Telephone            |    724-837-6134
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    Fax                  |    724-834-2810
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. JASON  ROSS 
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    Credential           |    
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    Telephone            |    724-837-6134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    05205
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    License Number State |    PA
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