1760581292 NPI number — PALMERTON COMMUNITY AMBULANCE ASSOCIATION, INC.

Table of content: (NPI 1467445940)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760581292 NPI number — PALMERTON COMMUNITY AMBULANCE ASSOCIATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PALMERTON COMMUNITY AMBULANCE ASSOCIATION, 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:
1760581292
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2
Provider Second Line Business Mailing Address:
501 DELAWARE AVENUE
Provider Business Mailing Address City Name:
PALMERTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18071
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-826-7809
Provider Business Mailing Address Fax Number:
610-826-5327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 DELAWARE AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMERTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18071-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-826-7609
Provider Business Practice Location Address Fax Number:
610-826-5327
Provider Enumeration Date:
09/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WEAVER
Authorized Official First Name:
DANIELLE
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
FINANCIAL OFFICER/BOARD OF DIRECTOR
Authorized Official Telephone Number:
570-401-1279

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  06111 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 06111PA , 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: 0145827 . This is a "BC OF TENN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 0780734/01 . This is a "MED PLUS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1528003 . This is a "GATEWAY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 50002800 . This is a "CAP. BC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 127702 . This is a "UNISON MED PLUS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20012758 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 284951 . This is a "HIGHMARK BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 74817 . This is a "ATHEM BLUE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0025427000 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 590007582 . This is a "RR MED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007807340001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 31245 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1154979 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 808539 . This is a "FIRST PRIOITY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 002542700 . This is a "AMERIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2709438 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com