1013902964 NPI number — BALDWIN EMERGENCY MEDICAL SERVICE

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 1013902964 NPI number — BALDWIN EMERGENCY MEDICAL SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BALDWIN EMERGENCY MEDICAL SERVICE
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:
1013902964
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 READSHAW WAY
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:
15236-2769
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-884-0666
Provider Business Mailing Address Fax Number:
412-884-5717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 READSHAW WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15236-2769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-884-0666
Provider Business Practice Location Address Fax Number:
412-884-5717
Provider Enumeration Date:
09/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WIEDENHEFT
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
ELAINE
Authorized Official Title or Position:
TREASURER/OFFICE MANAGER
Authorized Official Telephone Number:
412-884-0666

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  05150 , 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: 000884710003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103846 . This is a "UPMC FOR YOU" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 112017801 . This is a "BEST HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1010752 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 604002200 . This is a "U.S. DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 590005344 . This is a "PALMETTO RR MEDICARE" identifier . This identifiers is of the category "OTHER".




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