EAGLES MERE VOLUNTEER AMBULANCE (NPI# 1114942992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114942992 |
| Entity Type | Organization |
| Organization Name | EAGLES MERE VOLUNTEER AMBULANCE |
| Practice Address |
49 Fern Ln Eagles Mere PA 17731 |
| Mailing Address |
Po Box 374 Eagles Mere PA 17731-0374 |
| Practice Telephone | 5705253422 |
| Practice Fax Number | 5702654797 |
| Mailing Telephone | 5705253422 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MR. RICH SCHAEFER (AMBULANCE CAPTAIN) |
| Authorized Official Telephone | 5705253422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012599070003 | 05 |
| Street Address |
49 FERN LN |
| City | EAGLES MERE |
| State | PA |
| Zip Code | 17731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235409848 | Rebecca Elizabeth Lewis | General Practice | 122 Forest Avenue, Eagles Mere, PA 17731 | 2012-01-12 |
| 1558676874 | Patricia Jean Rider | Speech-Language Pathologist | 14280 Rt. 42, Eagles Mere, PA 17731-0129 | 2010-08-11 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
| City | EAGLES MERE |
| Zip Code | 17731 |
Please comment or provide details below to improve the information on EAGLES MERE VOLUNTEER AMBULANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.