Healthcare Provider Details

I. General information

NPI: 1629241971
Provider Name (Legal Business Name): FORBEST EMERGENCY MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 WASHINGTON AVE
FINLEYVILLE PA
15332-1329
US

IV. Provider business mailing address

PO BOX 54
FINLEYVILLE PA
15332-0054
US

V. Phone/Fax

Practice location:
  • Phone: 724-348-2439
  • Fax: 724-348-6312
Mailing address:
  • Phone: 724-348-2439
  • Fax: 724-348-6312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number08001
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number08001
License Number StatePA

VIII. Authorized Official

Name: MRS. CONNIE L FOURNIER
Title or Position: PRESIDENT
Credential:
Phone: 724-348-2439