MEDICARE: NEW RINGGOLD AMBULANCE 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

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	:	1811908973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW RINGGOLD AMBULANCE INC

Provider Business Mailing Address
First Line	:	PO BOX 207
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18105-0207
Country	:	US
Telephone Number	:	484-664-2007
Fax Number	:	484-664-2015

Provider Business Practice Location Address
First Line	:	115 NORTH RAILROAD STREET
Second Line	:
City	:	NEW RINGGOLD
State	:	PA
Zip	:	17960
Country	:	US
Telephone Number	:	570-943-2272
Fax Number	:	570-943-2802

Authorized Official
Title or Position	:	PRESIDENT CHEIF
Name	:	EMILY ECKROTH
Credential	:
Telephone Number	:	570-943-2272

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	02/29/2016

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