1861480949 NPI number — PLAINS VOLUNTEER AMBULANCE ASSOCIATION

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861480949 NPI number — PLAINS VOLUNTEER AMBULANCE ASSOCIATION

Employer Identification Number (EIN):

Provider Organization Name:

PLAINS VOLUNTEER AMBULANCE ASSOCIATION

Provider Last Name:

Provider First Name:

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

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:

1861480949

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

11/02/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 207

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

ALLENTOWN

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

18105-0207

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

484-664-2007

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

90 MAFFETT ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

PLAINS

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

18705-1933

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

570-822-9279

Provider Business Practice Location Address Fax Number:

570-223-6226

Provider Enumeration Date:

10/12/2005

Authorized Official Last Name:

ZABRISKI

Authorized Official First Name:

PAUL

Authorized Official Middle Name:

A

Authorized Official Title or Position:

TREASURER

Authorized Official Telephone Number:

570-822-9279

• Taxonomy code: 3416L0300X , with the licence number:  03366 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 590004230 . This is a "UNITED HC RR MEDICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: PA3384 . This is a "PHS HEALTH PLAN COMMERCIA" identifier . This identifiers is of the category "OTHER".
• Identifier: 118002600 . This is a "DEPT OF LABOR WORK COMP" identifier . This identifiers is of the category "OTHER".
• Identifier: 0603710 . This is a "AETNA USHC BLUE BELL HMO" identifier . This identifiers is of the category "OTHER".
• Identifier: 51687 . This is a "GHP" identifier . This identifiers is of the category "OTHER".
• Identifier: 1063900 . This is a "KEYSTONE MERCY HMO DPA" identifier . This identifiers is of the category "OTHER".
• Identifier: 0012187710002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 089529300 . This is a "FEDERAL BLACK LUNG" identifier . This identifiers is of the category "OTHER".
• Identifier: 801060 . This is a "FIRST PRIORITY HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 895293 . This is a "UMWA HEALTH AND RET FUNDS" identifier . This identifiers is of the category "OTHER".
• Identifier: 201642 . This is a "BCBS OF PA BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
• Identifier: PA3384 . This is a "ACS HEALTH NET HMO MDC" identifier . This identifiers is of the category "OTHER".
• Identifier: PA3384 . This is a "QUALMED" identifier . This identifiers is of the category "OTHER".
• Identifier: PA3384 . This is a "ACS HEALTH NET COMMERCIAL" identifier . This identifiers is of the category "OTHER".