1801883228 NPI number — MAHONING VALLEY AMBULANCE ASSOCIATION

Table of content: (NPI 1801883228)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801883228 NPI number — MAHONING VALLEY AMBULANCE ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAHONING VALLEY AMBULANCE ASSOCIATION
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:
1801883228
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18105-0207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-473-2278
Provider Business Mailing Address Fax Number:
484-664-2015

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
902 MILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-9667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-386-2518
Provider Business Practice Location Address Fax Number:
570-386-3268
Provider Enumeration Date:
09/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
WALTER
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
570-386-5800

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  04213 , 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: 0930709 . This is a "AETNA USHC BLUE BELL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "BC BS OF PA BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 812110 . This is a "FIRST PRIORITY HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0012008100001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 281283 . This is a "SIGNATURE 65 2NDRY ONLY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "CLASSIC BLUE MAJMED ZAH Z" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "DIRECT BLUE ZAB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "PPO BLUE ZAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "MEDIGAP BLUE 2NDRY ONLY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "SELECT BLUE HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "CLASSIC BLUE ZAH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "FEDERAL BC BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 281283 . This is a "SPECIAL CARE SOC MISS BC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 441590544 . This is a "UNITED HC RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1144160 . This is a "KEYSTON MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 833808 . This is a "UMWA HEALTH & RETIREMENT" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com