Healthcare Provider Details

I. General information

NPI: 1982244554
Provider Name (Legal Business Name): EAST ERIE COUNTY EMERGENCY MEDICAL SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 BUFFALO RD
HARBORCREEK PA
16421-1625
US

IV. Provider business mailing address

5601 BUFFALO RD
HARBORCREEK PA
16421-1625
US

V. Phone/Fax

Practice location:
  • Phone: 814-898-2299
  • Fax:
Mailing address:
  • Phone: 814-898-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DONALD LAWRENCE HOLMAN JR.
Title or Position: DIRECTOR
Credential:
Phone: 814-898-2299