Healthcare Provider Details

I. General information

NPI: 1629145677
Provider Name (Legal Business Name): SUGARCREEK TOWNSHIP AMBULANCE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 STATE ROUTE 268
EAST BRADY PA
16028-2528
US

IV. Provider business mailing address

PO BOX 18537
PLEASANT HILLS PA
15236-0537
US

V. Phone/Fax

Practice location:
  • Phone: 724-526-5227
  • Fax: 724-526-5910
Mailing address:
  • Phone: 800-521-0671
  • Fax: 724-234-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number300935
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03215
License Number StatePA

VIII. Authorized Official

Name: MR. MICHAEL BARRETT
Title or Position: DIRECTOR
Credential: EMT-P
Phone: 724-234-8880