Organization Name: | WHITE OAK EMERGENCY MEDICAL SERVICE |
NPI Number: | 1346311420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W. PETRO (DIRECTOR OF OPERATIONS) |
Mailing Address: | 2800 State St White Oak |
State: | PA US |
Postal Code: | 151311331 |
Phone Number: | 4126723055 |
Fax Number: | 4126721616 |
NPI Enumeration Date: | 11/12/2006 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 04283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |