Healthcare Provider Details

I. General information

NPI: 1770561896
Provider Name (Legal Business Name): EMLENTON AREA AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 12/08/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 MAIN ST
EMLENTON PA
16373-9305
US

IV. Provider business mailing address

409 PORTER AVE
SCOTTDALE PA
15683-1141
US

V. Phone/Fax

Practice location:
  • Phone: 724-867-1191
  • Fax: 724-867-0035
Mailing address:
  • Phone: 724-887-6822
  • Fax: 724-887-9440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number00095
License Number StatePA

VIII. Authorized Official

Name: JEANNE HINDMAN
Title or Position: BOARD MEMBER
Credential:
Phone: 724-887-6822