1881689784 NPI number — WEST YORK AMBULANCE INC

Table of content: (NPI 1881689784)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881689784 NPI number — WEST YORK AMBULANCE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST YORK AMBULANCE 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:
1881689784
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 726
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CUMBERLAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17070-0726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-214-6018
Provider Business Mailing Address Fax Number:
717-214-6020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
320 E BERLIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-8700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-792-1610
Provider Business Practice Location Address Fax Number:
717-792-2460
Provider Enumeration Date:
09/16/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
REIGART
Authorized Official First Name:
DENNIS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
717-792-1610

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  04165 , 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: 001513440 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".