MEDICARE: SWEET VALLEY 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	05104	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1720108616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET VALLEY AMBULANCE ASSOCIATION, INC

Provider Business Mailing Address
First Line	:	5399 MAIN RD
Second Line	:
City	:	SWEET VALLEY
State	:	PA
Zip	:	18656-2485
Country	:	US
Telephone Number	:	570-477-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5399 MAIN RD
Second Line	:
City	:	SWEET VALLEY
State	:	PA
Zip	:	18656-2485
Country	:	US
Telephone Number	:	570-477-5500
Fax Number	:	570-477-5510

Authorized Official
Title or Position	:	TREASURER
Name	:	JOHN OLEY
Credential	:
Telephone Number	:	570-477-3686

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	12/05/2025

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