LOWER ALSACE VOLUNTEER AMBULANCE ASSOCIATION NPI 1821122235

NPI Information

NPI: 1821122235
Provider Name: LOWER ALSACE VOLUNTEER AMBULANCE ASSOCIATION
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2093564

Address:
750 N 25TH ST
READING, PA
ZIP 19606
Phone: (610) 779-0190
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LOWER ALSACE VOLUNTEER AMBULANCE ASSOCIATION is a land transport ambulance in Reading, PA. LOWER ALSACE VOLUNTEER AMBULANCE ASSOCIATION NPI is 1821122235. The provider is registered as an organization entity type.

The provider's business location address is:

750 N 25TH ST
READING, PA
ZIP 19606-400
Phone: (610) 779-0190
Fax: (610) 779-9143

The provider's authorized official is Carol Wentzel .
The authorized official title is Operations Manager and has the following contact phone number (610) 779-0190.

The CLIA number assigned to this NPI record is 39D2093564 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 2/16/2012.

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	06098	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	0011361200005	MEDICAID	PENNSYLVANIA
2	590010476	OTHER	PENNSYLVANIA	PALMETTO GBA MEDICARE RAI
3	209088	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
4	0093888000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS
5	209088	OTHER	PENNSYLVANIA	HIGH MARK BLUE SHIELD
6	50006179	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS

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: 4/28/2024

NPI Synchronization or Removal

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