1396744686 NPI number — SWITZERLAND COUNTY EMERGENCY MEDICAL SERVICES INC

Table of content: MR. KEVIN M O'HARA PA (NPI 1235463522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396744686 NPI number — SWITZERLAND COUNTY EMERGENCY MEDICAL SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SWITZERLAND COUNTY EMERGENCY MEDICAL SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SWITZERLAND COUNTY EMS INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396744686
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 392907
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-962-1484
Provider Business Mailing Address Fax Number:
513-772-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
610 FERRY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEVAY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-427-3750
Provider Business Practice Location Address Fax Number:
812-427-2917
Provider Enumeration Date:
07/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SEE
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIRECTOR
Authorized Official Telephone Number:
812-599-4014

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  0225 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 590009997 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 275569800 . This is a "FEDERAL LABOR" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 55340632 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100282250A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1134042 . This is a "PASSPORT" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: I011617 . This is a "TRICARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 000000069815 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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