1467449884 NPI number — EASTERN SALISBURY FIRE AMBULANCE & RESCUE COMPANY

Table of content: (NPI 1467449884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467449884 NPI number — EASTERN SALISBURY FIRE AMBULANCE & RESCUE COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTERN SALISBURY FIRE AMBULANCE & RESCUE COMPANY
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:
1467449884
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 READING AVE
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
WEST READING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19611-1140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-376-2007
Provider Business Mailing Address Fax Number:
610-376-2488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 E EMMAUS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-5928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-797-5227
Provider Business Practice Location Address Fax Number:
610-797-5289
Provider Enumeration Date:
09/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HINKLE
Authorized Official First Name:
GLORIA
Authorized Official Middle Name:
Authorized Official Title or Position:
AMBULANCE CHIEF
Authorized Official Telephone Number:
610-797-5227

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  03148 , 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: 1028802 . This is a "AMERIHEALTH MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0012510970004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1028802 . This is a "KEYSTONE MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50003387 . This is a "CAPITAL BLUE CROSS BASIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0099877 . This is a "AETNA USHC BLUE BELL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 590007602 . This is a "UNITED HC RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 214043 . This is a "BC BS OF PA BLUE SHIELD" identifier . This identifiers is of the category "OTHER".




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