Healthcare Provider Details

I. General information

NPI: 1619974383
Provider Name (Legal Business Name): LOWER VALLEY AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 FREEPORT RD
CHESWICK PA
15024-1213
US

IV. Provider business mailing address

PO BOX 18533
PITTSBURGH PA
15236-0533
US

V. Phone/Fax

Practice location:
  • Phone: 717-724-4136
  • Fax:
Mailing address:
  • Phone: 724-274-4155
  • Fax: 724-234-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03181
License Number StatePA

VIII. Authorized Official

Name: TERRY J ANZALDI
Title or Position: DIRECTOR AND CHIEF
Credential:
Phone: 724-274-4155