MEDIC 9 PARAMEDIC SERVICE INC. NPI 1104825991

NPI Information

  • NPI: 1104825991
  • Provider Name: MEDIC 9 PARAMEDIC SERVICE, INC.
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Address: 311 BLUE VALLEY DR
    BANGOR, PA
    ZIP 18013
  • Phone: (610) 588-9816

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NPI Details

MEDIC 9 PARAMEDIC SERVICE, INC. is a non emergency medical transport van in Bangor, PA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. MEDIC 9 PARAMEDIC SERVICE, INC. NPI is 1104825991. The provider is registered as an organization entity type.

The provider's business location address is:

311 BLUE VALLEY DR
BANGOR, PA
ZIP 18013-528
Phone: (610) 588-9816
Fax: (610) 588-9818

The provider's authorized official is Donald Alan Dereamus .
The authorized official title is Ems Coordinator and has the following contact phone number (610) 588-9816.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 9/11/2025.

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
13416L0300XAmbulanceLand Transport02275PENNSYLVANIANo
2343900000XNon-emergency Medical Transport (VAN)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
10011898940002MEDICAIDPENNSYLVANIA

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: 11/21/2025

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