549 CORPORATION NPI 1609958792

NPI Information

  • NPI: 1609958792
  • Provider Name: 549 CORPORATION
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: KEYSTONE AMBULANCE SERVICE
  • Address: 645 MAIN STREET
    EDWARDSVILLE, PA
    ZIP 18704
  • Phone: (570) 288-5770

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NPI Details

549 CORPORATION is a land transport ambulance in Edwardsville, PA. 549 CORPORATION NPI is 1609958792. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Ambulance Service.

The provider's business location address is:

645 MAIN STREET
EDWARDSVILLE, PA
ZIP 18704
Phone: (570) 288-5770
Fax: (570) 288-0112

The provider's authorized official is Michael Kowalski .
The authorized official title is President and has the following contact phone number (570) 288-5770.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 11/21/2007.

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 Transport03367PENNSYLVANIAYes

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
1P00118710OTHERPENNSYLVANIARAILROAD MEDICARE
2043432MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE PROVIDER NUMBER
30018250080001OTHERPENNSYLVANIAMEDICAL ASSISTANCE
450036634OTHERPENNSYLVANIACAPITAL BLUE CROSS
5812825OTHERPENNSYLVANIABLUE CROSS OF NEPA
60007785194OTHERPENNSYLVANIAAETNA

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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