MEDICARE: TLC ADVANCED LIFE SUPPORT, LLC

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	02176	PA

General Provider Information

NPI Number	:	1801888664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLC ADVANCED LIFE SUPPORT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 726
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-0726
Country	:	US
Telephone Number	:	717-214-6018
Fax Number	:	717-214-6020

Provider Business Practice Location Address
First Line	:	1819 WOODEN BRIDGE RD
Second Line	:
City	:	THREE SPRINGS
State	:	PA
Zip	:	17264-9120
Country	:	US
Telephone Number	:	717-372-1178
Fax Number	:	814-685-3003

Authorized Official
Title or Position	:	OWNER
Name	:	TAMMY COOK
Credential	:
Telephone Number	:	717-372-1178

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/20/2007

Similar Medicare Providers

1841282589 — THREE SPRINGS AREA AMBULANCE SERVICE INC
Practice Location Address:

102 CHURCH ST
THREE SPRINGS, PA
17264

Practice Phone: 814-448-2900
Practice Fax: 814-448-2908

1033171632 — MR. PATRICK WAYNE MORRIS JR. MS, ATC, PES
Practice Location Address:

RR 2 BOX 1124
THREE SPRINGS, PA
17264-9730

Practice Phone: 814-447-5529
Practice Fax:

1861430340 — SOUTHERN HUNTINGDON COUNTY SCHOOL DISTRICT
Practice Location Address:

RR 2 BOX 1124
THREE SPRINGS, PA
17264-9730

Practice Phone: 814-447-5529
Practice Fax:

1225491525 — CHRISTY LEE BARRON
Practice Location Address:

19987 CLIFFSIDE DR
THREE SPRINGS, PA
17264-8525

Practice Phone: 814-448-2998
Practice Fax:

1922588763 — AMANDA MARIE ROBINSON
Practice Location Address:

21087 WATERFALL RD
THREE SPRINGS, PA
17264-8003

Practice Phone: 814-907-2477
Practice Fax:

1922678549 — STACEY WILSON PHDHP
Practice Location Address:

8071 MEADOW GAP RD
THREE SPRINGS, PA
17264-8623

Practice Phone: 814-251-2042
Practice Fax:

Directions to “TLC ADVANCED LIFE SUPPORT, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.