JIM THORPE EMS; NPI #1639199144

Contact Information

JIM THORPE EMS

100 E 10TH ST
JIM THORPE, PA 18229

Phone: 570-325-4806
Fax:
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 JIM THORPE EMS

NPI # 1639199144

LBN Legal business name JIM THORPE EMS

Authorized official THOMAS LAGER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/20/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

PA	License #	05179
PA	Medicaid	0016621630005
PA	Other	3777775	AETNA
PA	Other	35946	HEALTH PARTNERS

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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JIM THORPE EMS

Contact Information

Specialty

Land Transport

NPI Profile & details for JIM THORPE EMS

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