Provider Demographics
NPI:1992785646
Name:MAHONING VALLEY AMBULANCE ASSOCIATION, INC.
Entity type:Organization
Organization Name:MAHONING VALLEY AMBULANCE ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:570-386-5800
Mailing Address - Street 1:902 MILL RD
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-9667
Mailing Address - Country:US
Mailing Address - Phone:570-386-2518
Mailing Address - Fax:570-386-3268
Practice Address - Street 1:902 MILL RD
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-9667
Practice Address - Country:US
Practice Address - Phone:570-386-2518
Practice Address - Fax:570-386-3268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance