Pine Grove Community Ambulance Association

LBN: Pine Grove Community Ambulance Association
Pine Grove Community Ambulance Association is an health care organization with primary practice located at 46 Spruce Street , Pine Grove PA 17963-1715. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Pine Grove Community Ambulance Association can be contacted via phone (570) 345-3004, or through Lukasewicz, David T. via phone (570) 617-4002.

Contact Information

Primary practice address
46 Spruce Street Pine Grove PA 17963-1715
Phone: (570) 345-3004
Fax: (570) 345-6621
Website:
Map and Directions
Authorized official contact:
Name: Lukasewicz, David T.
Phone: (570) 617-4002

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1023147931
LBN Legal business name Pine Grove Community Ambulance Association
DBA Doing business as
Authorized official Lukasewicz, David T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 2nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023147931 NPPES
Pennsylvania MEDICAID 0007646410002

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