1396749024 NPI number — EMTS CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396749024 NPI number — EMTS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMTS CORPORATION
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:
Provider Other Organization Name Type Code:
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:
1396749024
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 W WATER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MUNCY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17756-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-546-5925
Provider Business Mailing Address Fax Number:
570-546-5927

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CORNER OLD TRAIL AND MILL ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMMELS WHARF
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-743-4523
Provider Business Practice Location Address Fax Number:
570-743-4504
Provider Enumeration Date:
06/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MAGYAR
Authorized Official First Name:
ROXANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
570-546-5925

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  03211 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0010833760004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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