MEDICARE: CHRISTIANA COMMUNITY AMBULANCE ASSOCIATION 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
1	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590006753	OTHER		RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	590006753	OTHER	PA	PALMETTO GBA

General Provider Information

NPI Number	:	1508862988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIANA COMMUNITY AMBULANCE ASSOCIATION INC

Provider Business Mailing Address
First Line	:	PO BOX 280
Second Line	:
City	:	CHRISTIANA
State	:	PA
Zip	:	17509-0280
Country	:	US
Telephone Number	:	610-593-6796
Fax Number	:	610-593-8027

Provider Business Practice Location Address
First Line	:	55 PINE CREEK DR
Second Line	:
City	:	GAP
State	:	PA
Zip	:	17527-9020
Country	:	US
Telephone Number	:	610-593-8166
Fax Number	:	610-593-8027

Authorized Official
Title or Position	:	EMS CHIEF
Name	:	COREY GOSSERT
Credential	:
Telephone Number	:	717-271-6684

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	06/17/2024

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Directions to “CHRISTIANA COMMUNITY AMBULANCE ASSOCIATION INC ” Practice Location

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