Provider Demographics
NPI:1861532707
Name:WARMINSTER VOLUNTEER AMBULANCE CORPS.
Entity type:Organization
Organization Name:WARMINSTER VOLUNTEER AMBULANCE CORPS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE CHAIRMAN, BOD
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-441-0333
Mailing Address - Street 1:555 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4613
Mailing Address - Country:US
Mailing Address - Phone:215-441-0333
Mailing Address - Fax:215-957-7929
Practice Address - Street 1:555 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4613
Practice Address - Country:US
Practice Address - Phone:215-441-0333
Practice Address - Fax:215-957-7929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03188341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0023628000OtherKEYSTONE
PA089199700OtherFEDERAL BLACK LUNG
PA0007065030002Medicaid
PA0023628000OtherKEYSTONE
PA280895Medicare ID - Type Unspecified