Healthcare Provider Details

I. General information

NPI: 1023070083
Provider Name (Legal Business Name): JEANNETTE E.M.S., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S 6TH ST
JEANNETTE PA
15644-3417
US

IV. Provider business mailing address

225 S 6TH ST
JEANNETTE PA
15644-3417
US

V. Phone/Fax

Practice location:
  • Phone: 724-523-5501
  • Fax: 724-523-5581
Mailing address:
  • Phone: 724-523-5501
  • Fax: 724-523-5581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number04177
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberA00113168
License Number StatePA

VIII. Authorized Official

Name: RAYMOND REIDMILLER
Title or Position: CHAIRMAN OF BOARD
Credential:
Phone: 724-527-2761