EAGLES MERE VOLUNTEER AMBULANCE; NPI #1114942992

Contact Information

EAGLES MERE VOLUNTEER AMBULANCE

49 FERN LN
EAGLES MERE, PA 17731

Phone: 570-525-3422
Fax: 570-265-4797
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for EAGLES MERE VOLUNTEER AMBULANCE

NPI Number 1114942992

LBN Legal business name EAGLES MERE VOLUNTEER AMBULANCE

Authorized official RICH SCHAEFER - (AMBULANCE CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/13/2006

Last updated 06/11/2012 - About 14 years ago

Identifiers

Medicaid

0012599070003

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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