MEDICARE: WHITE MILLS VOL AMB CORPS

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	341600000X	Ambulance

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	:	1770683575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE MILLS VOL AMB CORPS

Provider Business Mailing Address
First Line	:	PO BOX 3012
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-0012
Country	:	US
Telephone Number	:	800-456-4629
Fax Number	:	302-224-2848

Provider Business Practice Location Address
First Line	:	36 MAIN ST
Second Line	:
City	:	HAWLEY
State	:	PA
Zip	:	18428
Country	:	US
Telephone Number	:	570-253-3611
Fax Number	:	570-253-3611

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VICKI DONAHUE
Credential	:
Telephone Number	:	570-253-3611

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	08/22/2020

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Directions to “WHITE MILLS VOL AMB CORPS ” Practice Location

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