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NPI Code Detail

MEDICARE: GOULDSBORO AMBULANCE SQUAD INC

MEDICARE: GOULDSBORO AMBULANCE SQUAD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063462612
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOULDSBORO AMBULANCE SQUAD INC
Provider Business Mailing Address
First Line : PO BOX 255
Second Line :
City : GOULDSBORO
State : PA
Zip : 18424-0255
Country : US
Telephone Number : 570-842-4175
Fax Number : 570-842-1516
Provider Business Practice Location Address
First Line : 490 MAIN ST
Second Line :
City : GOULDSBORO
State : PA
Zip : 18424-8836
Country : US
Telephone Number : 570-842-4175
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CAROL RINALDI
Credential :
Telephone Number : 570-842-4175
Provider Enumeration Date : 05/12/2006
Last Update Date : 11/18/2015

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Directions to “GOULDSBORO AMBULANCE SQUAD INC ” Practice Location

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