YELLOW BREECHES EMS INC. NPI 1275693814

NPI Information

NPI: 1275693814
Provider Name: YELLOW BREECHES EMS, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2137319

Address:
233 MILL ST
MOUNT HOLLY SPRINGS, PA
ZIP 17065
Phone: (717) 486-3833
Get Directions

YELLOW BREECHES EMS, INC. is a land transport ambulance in Mount Holly Springs, PA. YELLOW BREECHES EMS, INC. NPI is 1275693814. The provider is registered as an organization entity type.

The provider's business location address is:

233 MILL ST
MOUNT HOLLY SPRINGS, PA
ZIP 17065-718
Phone: (717) 486-3833

The provider's authorized official is Doug Shields .
The authorized official title is President and has the following contact phone number (717) 486-3833.

The CLIA number assigned to this NPI record is 39D2137319 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 6/17/2015.

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	05009	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	200110	MEDICARE UPIN	PENNSYLVANIA
2	0016806710004	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: 5/5/2024

NPI Synchronization or Removal

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