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Contact Information

WEST END ADVANCED LIFE SUPPORT, INC
296 OLD ROUTE 115
SAYLORSBURG, PA18353
 Phone: 610-681-5810
 Fax: 610-681-5643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for WEST END ADVANCED LIFE SUPPORT, INC

NPI # 1689671257
LBN Legal business name WEST END ADVANCED LIFE SUPPORT, INC
Authorized official JACKIE WENZEL - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2005
Last updated 05/19/2008 - About 18 years ago
Identifiers
PA License # 04194
PA Medicaid 0017216760001
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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