1215237268 NPI number — ELITE EMS, INC.

Table of content: (NPI 1215237268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215237268 NPI number — ELITE EMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELITE EMS, 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:
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:
1215237268
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7100 WHIPPLE AVE NW STE L
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH CANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44720-7167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-342-3671
Provider Business Mailing Address Fax Number:
330-232-9917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3625 E STATE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HERMITAGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16148-3425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-342-3670
Provider Business Practice Location Address Fax Number:
724-510-0144
Provider Enumeration Date:
10/25/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GORFI
Authorized Official First Name:
AMANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF HUMAN RESOURCES
Authorized Official Telephone Number:
330-484-8998

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1025516080001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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