Community Ambulance Service Club in Tower City - Land Transport
Community Ambulance Service Club - NPI 1962538900
Community Ambulance Service Club is a Land Transport in Tower City, Pennsylvania. Community Ambulance Service Club practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Community Ambulance Service Club is 1962538900. The last update date is 2015-09-15.
Community Ambulance Service Club's current location address is 633 East Colliery Avenue, Tower City, Pennsylvania. You can contact this provider via phone number 7179438013 and fax number 7176472546. The mailing address for Community Ambulance Service Club is 633 East Colliery Avenue, Tower City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Ambulance Service Club |
|---|---|
| Address | 633 East Colliery Avenue, Tower City, Pennsylvania |
| Phone Number | 7179438013 |
| Fax Number | 7176472546 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Deiter A Jeremiah |
| Telephone Number | 7179438013 |
NPI Number Detail
| NPI Number | 1962538900 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2015-09-15 |
Provider Mailing Address Detail
| Address | 633 East Colliery Avenue |
|---|---|
| City | Tower City |
| State | Pennsylvania (PA) |
| Post Code | 17980 |
| Phone Number | 7179438013 |
| Fax Number | 7176472546 |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 4141 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590007322 | PA | RR MEDICARE | |
| 12143980004 | PA | -- | |
| 50004678 | PA | CAPITAL BLUE CROSS | |
| 130130 | PA | THREE RIVERS | |
| 50004678 | PA | KEYSTONE SENIOR BLUE | |
| 893120 | PA | BLACK LUNG PROGRAM | |
| 20018661 | PA | AMERIHEALTH MERCY |
Post Comment/ Review Below
What is the Community Ambulance Service Club's unique identification number?
The Community Ambulance Service Club has been assigned the NPI (National Provider Identifier) Number 1962538900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Community Ambulance Service Club is physically located?
The Community Ambulance Service Club is physically situated at the following address: 633 East Colliery Avenue, Tower City, PA, 17980.
What is Community Ambulance Service Club's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Ambulance Service Club's specialized field of practice is Land Transport, and the corresponding taxonomy code that categorizes this area of specialization is 3416L0300X.
On what date did the Community Ambulance Service Club receive the assignment of its 1962538900 from the Centers for Medicare & Medicaid Services?
The Community Ambulance Service Club was issued its 1962538900 by the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date were the details related to Community Ambulance Service Club most recently updated or revised?
The information pertaining to Community Ambulance Service Club, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-15.