FIREMENS AMB SERVICE TEAM (NPI# 1295721272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295721272 |
Entity Type | Organization |
Organization Name | FIREMENS AMB SERVICE TEAM |
Practice Address |
8th and Hurron Ave Renova PA 17764 |
Mailing Address |
Po Box 207 Allentown PA 18105-0207 |
Practice Telephone | 5709231446 |
Mailing Telephone | 8004732278 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. CRYSTAL LOUISE GROVE (PRESIDENT) |
Authorized Official Telephone | 5709231446 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
18005 | PA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAPITAL BLUE CROSS BASIC | 50013768 | 01 | |
PA | 0006999370004 | 05 |
Street Address |
8TH AND HURRON AVE |
City | RENOVA |
State | PA |
Zip Code | 17764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982681102 | Bucktail Medical Center | Medicare Defined Swing Bed Unit | 1001 Pine Street, Renovo, PA 17764 | 2005-12-29 |
1518170455 | Western Clinton County Community Services | Community/Behavioral Health | 425 Saint Clair Ave, Renovo, PA 17764-1068 | 2007-05-07 |
1982837795 | D&s Haulman Enterprises LLC | Pharmacy | 144 4th St, Renovo, PA 17764-1071 | 2009-08-26 |
1669730883 | Adrienne Tripp | Health Educator | 208 10th St, Renovo, PA 17764-1117 | 2012-04-25 |
1497116909 | Renovo Fire Department Inc | Ambulance | 230 11th St, Renovo, PA 17764-1121 | 2016-03-10 |
1013938059 | Renovo Pharmacy Inc. | Pharmacist | 700 Erie Ave, Renovo, PA 17764-1130 | 2006-07-23 |
1942332705 | Robert Louis Stehman Jr. | Pharmacist | 700 Erie Ave, Renovo, PA 17764-1130 | 2007-03-09 |
1225209646 | Firemans Ambulance Service Team | Ambulance | 800 Huron Ave, Renovo, PA 17764-1140 | 2008-03-13 |
1649438870 | Firemens Ambulance Service Team | Ambulance | 800 Huron Ave, Renovo, PA 17764-1140 | 2008-05-23 |
1568546646 | Frank Conly | Family Medicine | 924 Huron Ave, Renovo, PA 17764-1191 | 2006-10-25 |
Find all providers in zip 17764 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1336615533 | Marklo Ems Transport | Ambulance | 313 Indigo Way, Allentown, PA 18104-8422 | 2018-10-16 |
Find all providers with the same taxonomy |
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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.