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General NPI Number Information
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NPI Number | 1629145677
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Entity Type | Organization
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Legal Business Name | SUGARCREEK TOWNSHIP AMBULANCE SERVICE INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2030 STATE ROUTE 268
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City | EAST BRADY
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State | PA
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Zip | 16028-2528
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Country | US
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Telephone | 724-526-5227
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Fax | 724-526-5910
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Provider Business Mailing Address
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Address Line | PO BOX 18537
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City | PLEASANT HILLS
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State | PA
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Zip | 15236-0537
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Country | US
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Telephone | 800-521-0671
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Fax | 724-234-4703
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MICHAEL BARRETT
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Credential | EMT-P
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Telephone | 724-234-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 300935
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 03215
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License Number State | PA
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