UPPER SAUCON AMB CORP NPI 1669454419

NPI Information

NPI: 1669454419
Provider Name: UPPER SAUCON AMB CORP
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2043592

Address:
5560 CAMP MEETING RD
CENTER VALLEY, PA
ZIP 18034
Phone: (610) 282-1565
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UPPER SAUCON AMB CORP is a land transport ambulance in Center Valley, PA. UPPER SAUCON AMB CORP NPI is 1669454419. The provider is registered as an organization entity type.

The provider's business location address is:

5560 CAMP MEETING RD
CENTER VALLEY, PA
ZIP 18034-401
Phone: (610) 282-1565
Fax: (610) 282-1954

The provider's authorized official is Gerard Cozzolino .
The authorized official title is Treasurer and has the following contact phone number (610) 282-1565.

The CLIA number assigned to this NPI record is 39D2043592 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 1/17/2013.

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	04127	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	0041378000	OTHER	PENNSYLVANIA	KEYSTONE HEALTH PLAN EAST
2	50003846	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
3	280208	OTHER	PENNSYLVANIA	KEYSTONE HEALTH PLAN CENT
4	0012083540	MEDICAID	PENNSYLVANIA
5	20026672	OTHER	PENNSYLVANIA	AMERIHEALTH MERCY HP
6	280208	OTHER	PENNSYLVANIA	HIGHMARK
7	1062531	OTHER	PENNSYLVANIA	KEYSTONE MERCY HP
8	280208	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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