NON PROFIT EMERGENCY SERVICES OF BEAVER COUNTY NPI 1528044690

NPI Information

NPI: 1528044690
Provider Name: NON PROFIT EMERGENCY SERVICES OF BEAVER COUNTY

Doing Business As: MEDIC RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
313 BRIDGE ST
BEAVER, PA
ZIP 15009
Phone: (724) 728-3621
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NON PROFIT EMERGENCY SERVICES OF BEAVER COUNTY is a land transport ambulance in Beaver, PA. NON PROFIT EMERGENCY SERVICES OF BEAVER COUNTY NPI is 1528044690. The provider is registered as an organization entity type.
The provider Is Doing Business As Medic Rescue.

The provider's business location address is:

313 BRIDGE ST
BEAVER, PA
ZIP 15009-906
Phone: (724) 728-3621
Fax: (724) 728-3696

The provider's authorized official is Mark Giannetti .
The authorized official title is Chief Administrator and has the following contact phone number (724) 728-3621.

The CLIA number assigned to this NPI record is 39D0688305 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 10/7/2014.

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	05092	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	0009131150004	MEDICAID	PENNSYLVANIA
2	284573	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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