MEADVILLE AREA AMBULANCE SERVICE LLC (NPI# 1598786931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598786931 |
| Entity Type | Organization |
| Organization Name | MEADVILLE AREA AMBULANCE SERVICE LLC |
| Practice Address |
872 Water St Meadville PA 16335-3455 |
| Practice Telephone | 8147247598 |
| Practice Fax Number | 8143371153 |
| Mailing Telephone | 8147247598 |
| Mailing Fax Number | 8143371153 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | ERIC S. HENRY (CEO/OWNER) |
| Authorized Official Telephone | 8147247598 |
| 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 | 1010125550001 | 05 | |
| PA | HEALTH AMERICA | 241887 | 01 |
| PA | ION HEALTH | 1010125550001 | 01 |
| PA | DEPARTMENT OF LABOR | 606018100 | 01 |
| PA | HIGHMARK BLUE SHIELD | 001629049 | 01 |
| PA | INDEPENDENCE BLUE | 2305927000 | 01 |
| PA | FEDERAL BLACK LUNG PROGRAM | 606018100 | 01 |
| Street Address |
872 WATER ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1922193218 | Franklin Ambulance Service | Ambulance | 46 Bunkley Road Sw, Main Street, Meadville, MS 39653 | 2006-10-04 |
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| 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.