Provider Demographics
NPI:1326338393
Name:POCONO AREA AMBULANCE SERVICES LIMITED
Entity Type:Organization
Organization Name:POCONO AREA AMBULANCE SERVICES LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:ONGOSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-851-6012
Mailing Address - Street 1:234 PINEWOOD DRIVE
Mailing Address - Street 2:(330 LAKE OF THE PINES)
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302
Mailing Address - Country:US
Mailing Address - Phone:570-851-6012
Mailing Address - Fax:
Practice Address - Street 1:330 LAKE OF THE PNES
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18302-7923
Practice Address - Country:US
Practice Address - Phone:570-851-6012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA45013013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport