Provider Demographics
NPI:1659364321
Name:FOX TOWNSHIP AMBULANCE ASSOCIATION, INC
Entity Type:Organization
Organization Name:FOX TOWNSHIP AMBULANCE ASSOCIATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-885-8450
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:432 MAIN STREET
Mailing Address - City:KERSEY
Mailing Address - State:PA
Mailing Address - Zip Code:15846-0030
Mailing Address - Country:US
Mailing Address - Phone:814-885-8166
Mailing Address - Fax:814-885-6382
Practice Address - Street 1:432 MAIN ST
Practice Address - Street 2:
Practice Address - City:KERSEY
Practice Address - State:PA
Practice Address - Zip Code:15846-2028
Practice Address - Country:US
Practice Address - Phone:814-885-8166
Practice Address - Fax:814-885-6382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-26
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA24002341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance