Organization Name: | PORT MATILDA EMERGENCY MEDICAL SERVICES |
NPI Number: | 1316948011 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN BROWN (TREASURER) |
Mailing Address: | 402 S High St Port Matilda |
State: | PA US |
Postal Code: | 16870 |
Phone Number: | 8146921035 |
Fax Number: | 8146921030 |
NPI Enumeration Date: | 08/03/2005 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 04145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |