1982601894 NPI number — CITY OF READING

Table of content: (NPI 1982601894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982601894 NPI number — CITY OF READING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF READING
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:
CITY OF READING EMS
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:
1982601894
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 782793
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19178-2793
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-655-6672
Provider Business Mailing Address Fax Number:
610-655-6608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
638 WALNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19601-3525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-655-6672
Provider Business Practice Location Address Fax Number:
610-655-6608
Provider Enumeration Date:
07/07/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STOUDT
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
610-655-6137

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1130783 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 226670 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1513575 . This is a "GATEWAY HP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000122465 . This is a "THREE RIVERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001833467 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".