Provider Demographics
NPI:1720220452
Name:DAMASCUS TOWNSHIP VOLUNTEER AMBULANCE CORPS INC
Entity Type:Organization
Organization Name:DAMASCUS TOWNSHIP VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-729-1020
Mailing Address - Street 1:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:PA
Mailing Address - Zip Code:18415-0063
Mailing Address - Country:US
Mailing Address - Phone:570-729-1020
Mailing Address - Fax:
Practice Address - Street 1:1290 COCHECTON TPKE
Practice Address - Street 2:
Practice Address - City:TYLER HILL
Practice Address - State:PA
Practice Address - Zip Code:18469-4004
Practice Address - Country:US
Practice Address - Phone:570-224-4552
Practice Address - Fax:570-224-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA050513416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport