Organization Name: | SOUTHERN COVE EMERGENCY MEDICAL SERVICES INC |
NPI Number: | 1780676536 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA WALTER (SECRETARY) |
Mailing Address: | 3865 Brumbaugh Rd New Enterprise |
State: | PA US |
Postal Code: | 166649150 |
Phone Number: | 8147662676 |
Fax Number: | 8147662011 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 04257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |