WEST END ADVANCED LIFE SUPPORT INC NPI 1689671257

NPI Information

NPI: 1689671257
Provider Name: WEST END ADVANCED LIFE SUPPORT, INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
296 OLD ROUTE 115
SAYLORSBURG, PA
ZIP 18353
Phone: (610) 681-5810
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WEST END ADVANCED LIFE SUPPORT, INC is a land transport ambulance in Saylorsburg, PA. WEST END ADVANCED LIFE SUPPORT, INC NPI is 1689671257. The provider is registered as an organization entity type.

The provider's business location address is:

296 OLD ROUTE 115
SAYLORSBURG, PA
ZIP 18353
Phone: (610) 681-5810
Fax: (610) 681-5643

The provider's authorized official is Jackie Wenzel .
The authorized official title is Office Manager and has the following contact phone number (610) 681-5810.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 5/19/2008.

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	04194	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	0017216760001	MEDICAID	PENNSYLVANIA
2	014555	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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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