Provider Demographics
NPI:1891781860
Name:KNOX AREA VOL AMBULANCE CO INC
Entity Type:Organization
Organization Name:KNOX AREA VOL AMBULANCE CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF/ EMT-P
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:SCHREFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-797-1263
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:484-664-2007
Mailing Address - Fax:
Practice Address - Street 1:342 MAIN & RAILROAD
Practice Address - Street 2:
Practice Address - City:KNOX
Practice Address - State:PA
Practice Address - Zip Code:16232
Practice Address - Country:US
Practice Address - Phone:814-797-1263
Practice Address - Fax:814-797-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA030143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
306597OtherUPMC HEALTH PLAN COMMERIC
441590609OtherUNITED HC RR MEDICARE
1495900OtherAETNA USHC BLUE BELL HMO
283523OtherBCBS OF PA BLUE SHIELD
P025688OtherTRICARE NORTHEAST
P025688OtherUMWA HEALTH & RETIREMENT
PA0007803870001Medicaid
283523OtherBCBS OF PA BLUE SHIELD
PA0007803870001Medicaid