NPI 1023179132

Ickesburg Ambulance Association

Organisation Basic Emergency Medical Technician Ickesburg, PA

Practice location

Address: 10350 Raccoon Valley Rd, Ickesburg, PA 17037
Phone: (717) 438-3113
Mailing address: PO Box 163, Ickesburg, PA 17037-0163

Authorised official

Name: Shane M Wolf
Title: President
Phone: (717) 438-0384

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 04274 (PA)

Other Emergency Medical Technician, Basic providers in Pennsylvania →

Registry record

NPI: 1023179132
Entity type: Organization
NPI issued: 12 Dec 2006
Record last updated: 10 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.