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NPI Code Detail

MEDICARE: PRIORITY ONE MEDICAL TRANSPORT, INC.

MEDICARE: PRIORITY ONE MEDICAL TRANSPORT, INC.
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 Ambulance03127PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3029745OTHERPAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1239347OTHERBC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4239347OTHERPAHIGHMARK BLUE CROSS
5590013955OTHERRR MEDICAR
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
81504971OTHERGATEWAY
9252545OTHERUPMC

General Provider Information

NPI Number : 1770521916
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIORITY ONE MEDICAL TRANSPORT, INC.
Provider Business Mailing Address
First Line : 1119 BROADWAY ST
Second Line :
City : EAST MC KEESPORT
State : PA
Zip : 15035-1517
Country : US
Telephone Number : 412-823-4980
Fax Number : 412-823-4917
Provider Business Practice Location Address
First Line : 1119 BROADWAY ST
Second Line :
City : EAST MC KEESPORT
State : PA
Zip : 15035-1517
Country : US
Telephone Number : 412-823-4980
Fax Number : 412-823-4917
Authorized Official
Title or Position : CEO
Name : MS. SANDRA LYNN KOLESAR-PEPPLER
Credential : EMT PARAMEDIC, BSW
Telephone Number : 412-823-4980
Provider Enumeration Date : 06/02/2006
Last Update Date : 12/27/2012

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Directions to “PRIORITY ONE MEDICAL TRANSPORT, INC. ” Practice Location

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