MEDICARE: PLUM EMERGENCY MEDICAL SERVICES, 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
1	3416L0300X	Land Ambulance	05151	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590006402	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1801862958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLUM EMERGENCY MEDICAL SERVICES, INC

Provider Business Mailing Address
First Line	:	4545 NEW TEXAS RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15239-1136
Country	:	US
Telephone Number	:	412-793-4801
Fax Number	:	412-793-4837

Provider Business Practice Location Address
First Line	:	4545 NEW TEXAS RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15239-1136
Country	:	US
Telephone Number	:	412-793-4801
Fax Number	:	412-793-4837

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MR. THOMAS B. IZYDORE
Credential	:
Telephone Number	:	412-793-4801

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	11/14/2011

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