1922146554 NPI number — HARLEYSVILLE AREA EMERGENCY MEDICAL SERVICE, INC.

Table of content: (NPI 1922146554)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922146554 NPI number — HARLEYSVILLE AREA EMERGENCY MEDICAL SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARLEYSVILLE AREA EMERGENCY MEDICAL SERVICE, 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:
1922146554
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/15/2020
NPI Reactivation Date:
09/09/2020

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
309 MAIN ST
Provider Second Line Business Mailing Address:
PO BOX 16
Provider Business Mailing Address City Name:
HARLEYSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19438-2418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-513-1880
Provider Business Mailing Address Fax Number:
215-513-2003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
309 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLEYSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19438-2418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-724-4136
Provider Business Practice Location Address Fax Number:
717-214-6020
Provider Enumeration Date:
02/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MAST
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
215-513-1880

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)





Copyright © 2007-2025 www.npivalidator.com