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 | 04213 | 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 | 281283 | OTHER | | DIRECT BLUE ZAB |
| 2 | 281283 | MEDICARE PIN | PENNSYLVANIA | |
| 3 | 281283 | OTHER | | CLASSIC BLUE MAJMED ZAH Z |
| 4 | 0012008100001 | MEDICAID | PENNSYLVANIA | |
| 5 | 281283 | OTHER | | SELECT BLUE HMO |
| 6 | 812110 | OTHER | | FIRST PRIORITY HEALTH |
| 7 | 1144160 | OTHER | | KEYSTON MERCY HMO DPA |
| 8 | 281283 | OTHER | | CLASSIC BLUE ZAH |
| 9 | 281283 | OTHER | | PPO BLUE ZAR |
| 10 | 441590544 | OTHER | | UNITED HC RR MEDICARE |
| 11 | 0930709 | OTHER | | AETNA USHC BLUE BELL HMO |
| 12 | 281283 | OTHER | | SIGNATURE 65 2NDRY ONLY |
| 13 | 281283 | OTHER | | FEDERAL BC BS |
| 14 | 281283 | OTHER | | MEDIGAP BLUE 2NDRY ONLY |
| 15 | 281283 | OTHER | | SPECIAL CARE SOC MISS BC |
| 16 | ========= | OTHER | | KEYSTONE HP CTRL HMO MDC |
| 17 | ========= | OTHER | | KEYSTON HP EAST HMO MDC |
| 18 | 281283 | OTHER | | BC BS OF PA BLUE SHIELD |
| 19 | 833808 | OTHER | | UMWA HEALTH & RETIREMENT |
