Organization · Type 2 NPI

549 Corporation

Land Ambulance · Edwardsville, PA

NPI number 1609958792 Active

Practice location

645 Main Street
Edwardsville, PA 18704

Fax (570) 288-0112

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X03367 (PA)

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About NPI 1609958792

549 Corporation's National Provider Identifier is 1609958792, issued on Oct 19, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Edwardsville, PA. The record was last updated on Nov 21, 2007.