WESLEYVILLE HOSE COMPANY NO 1 NPI 1124161583

NPI Information

NPI: 1124161583
Provider Name: WESLEYVILLE HOSE COMPANY NO 1
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2182452

Address:
3421 BUFFALO RD
ERIE, PA
ZIP 16510
Phone: (814) 899-6704
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WESLEYVILLE HOSE COMPANY NO 1 is a land transport ambulance in Erie, PA. WESLEYVILLE HOSE COMPANY NO 1 NPI is 1124161583. The provider is registered as an organization entity type.

The provider's business location address is:

3421 BUFFALO RD
ERIE, PA
ZIP 16510-813
Phone: (814) 899-6704
Fax: (814) 899-4814

The provider's authorized official is Shawn Garver .
The authorized official title is Lieutenient and has the following contact phone number (814) 899-6704.

The CLIA number assigned to this NPI record is 39D2182452 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 2/10/2020.

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	04281	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	0008899870001	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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