Healthcare Provider Details

I. General information

NPI: 1407834203
Provider Name (Legal Business Name): BEDFORD AREA AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W VONDERSMITH AVE
BEDFORD PA
15522-1727
US

IV. Provider business mailing address

PO BOX 625 130 W. VONDERSMITH AVE.
BEDFORD PA
15522-1727
US

V. Phone/Fax

Practice location:
  • Phone: 814-623-6534
  • Fax: 814-623-0648
Mailing address:
  • Phone: 814-623-6534
  • Fax: 814-623-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03303
License Number StatePA

VIII. Authorized Official

Name: HEATHER BEEGLE
Title or Position: MANAGER
Credential:
Phone: 814-623-6534