PENNDEL-MIDDLETOWN EMERGENCY SQUAD NPI 1619052792

NPI Information

NPI: 1619052792
Provider Name: PENNDEL-MIDDLETOWN EMERGENCY SQUAD
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D0912962

Address:
616 E LINCOLN HWY
LANGHORNE, PA
ZIP 19047
Phone: (215) 757-2663
Get Directions

PENNDEL-MIDDLETOWN EMERGENCY SQUAD is a land transport ambulance in Langhorne, PA. PENNDEL-MIDDLETOWN EMERGENCY SQUAD NPI is 1619052792. The provider is registered as an organization entity type.

The provider's business location address is:

616 E LINCOLN HWY
LANGHORNE, PA
ZIP 19047-905
Phone: (215) 757-2663
Fax: (215) 757-0222

The provider's authorized official is Renee Feliciano .
The authorized official title is President and has the following contact phone number (215) 757-2663.

The CLIA number assigned to this NPI record is 39D0912962 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	03256	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07935	OTHER	PENNSYLVANIA	SENIOR PARTNERS
2	47585	OTHER	PENNSYLVANIA	KEYSTONE MERCY
3	280663	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	IDENTIFICATION NUMBER
4	0023627000	OTHER	PENNSYLVANIA	PERSONAL CHOICE
5	0006325	OTHER		AETNA
6	KEYSTONE HEALTH PLAN	OTHER		0023627000
7	07935	OTHER	PENNSYLVANIA	HEALTH PARTNERS
8	X000330701	OTHER	PENNSYLVANIA	AMERICHOICE
9	0008923290001	MEDICAID	PENNSYLVANIA
10	590129095	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	RAILROAD MEDICARE
11	=========	OTHER		CHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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