SOUTHBRIDGE EMERGENCY MEDICAL SERVICES INC NPI 1457331431

NPI Information

NPI: 1457331431
Provider Name: SOUTHBRIDGE EMERGENCY MEDICAL SERVICES INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D1077721

Address:
178 HICKORY GRADE RD
BRIDGEVILLE, PA
ZIP 15017
Phone: (412) 221-5115
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SOUTHBRIDGE EMERGENCY MEDICAL SERVICES INC is a land transport ambulance in Bridgeville, PA. SOUTHBRIDGE EMERGENCY MEDICAL SERVICES INC NPI is 1457331431. The provider is registered as an organization entity type.

The provider's business location address is:

178 HICKORY GRADE RD
BRIDGEVILLE, PA
ZIP 15017-240
Phone: (412) 221-5115
Fax: (412) 206-0026

The provider's authorized official is Denis Valentine .
The authorized official title is Director and has the following contact phone number (412) 221-5115.

The CLIA number assigned to this NPI record is 39D1077721 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 9/27/2011.

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	03237	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	0007708630005	MEDICAID	PENNSYLVANIA
2	590130757	OTHER	PENNSYLVANIA	RRMC
3	0007708630004	MEDICAID	PENNSYLVANIA
4	286840	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: 11/14/2023

NPI Synchronization or Removal

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