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Contact Information

CONNEAUT LAKE AREA AMBULANCE SERVICE
290 S 4TH ST EXTENSION
CONNEAUT LAKE, PA16316
 Phone: 814-382-1133
 Fax: 814-382-9285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CONNEAUT LAKE AREA AMBULANCE SERVICE

NPI # 1447220751
LBN Legal business name CONNEAUT LAKE AREA AMBULANCE SERVICE
Authorized official MADEIRA PARASKOS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2006
Last updated 04/24/2008 - About 18 years ago
Identifiers
PA Medicaid 0009844110002
PA Other 280240 BLUE CROSS BLUE SHIELD
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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