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NPI Code Detail

MEDICARE: NORTHEAST ADAMS FIRE & EMS

MEDICARE: NORTHEAST ADAMS FIRE & EMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance04195PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417956244
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST ADAMS FIRE & EMS
Provider Business Mailing Address
First Line : PO BOX 726
Second Line :
City : NEW CUMBERLAND
State : PA
Zip : 17070-0726
Country : US
Telephone Number : 717-724-4136
Fax Number : 717-635-6176
Provider Business Practice Location Address
First Line : 101 E LOCUST ST
Second Line :
City : EAST BERLIN
State : PA
Zip : 17316
Country : US
Telephone Number : 717-259-7125
Fax Number : 717-259-9399
Authorized Official
Title or Position : MANAGER
Name : KERRY LEASE
Credential :
Telephone Number : 717-259-7125
Provider Enumeration Date : 07/14/2005
Last Update Date : 02/28/2020

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Directions to “NORTHEAST ADAMS FIRE & EMS ” Practice Location

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