Jefferson Township Volunteer Ambulance
Jefferson Township Volunteer Ambulance is a Land Ambulance in Jefferson Township, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
Practice location Address checks out
1980 Moosic Lake RdJefferson Township, PA 18436-3203
Phone: (570) 698-0479
Fax: (570) 689-4703
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Land Ambulance (primary) | Taxonomy 3416L0300X · Licence 98322 (PA) |
|---|
Record details
| NPI number | 1952461105 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Corallo — Captain · (570) 840-4057 |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | April 2, 2020 |
| Certification date | April 2, 2020 |
| Mailing address | Po Box 1846, Shavertown, PA 18708-0846 |