| Organization Name: | SUPERIOR ONE EMS |
| NPI Number: | 1790173284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY L BENINCOSA (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 318 Ohio St Boswell |
| State: | PA US |
| Postal Code: | 155311235 |
| Phone Number: | 8144429443 |
| Fax Number: | 8147038229 |
| NPI Enumeration Date: | 01/06/2015 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 15001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |