Healthcare Provider Details

I. General information

NPI: 1578576765
Provider Name (Legal Business Name): QUALITY EMERGENCY MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 BRICKYARD RD
MARS PA
16046-3006
US

IV. Provider business mailing address

PO BOX 18533
PITTSBURGH PA
15236-0533
US

V. Phone/Fax

Practice location:
  • Phone: 724-625-6400
  • Fax: 724-625-6410
Mailing address:
  • Phone: 724-625-6400
  • Fax: 724-625-6410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number06005
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0014750800003
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. CONRAD PFEIFER
Title or Position: DIRECTOR
Credential: EMT-P
Phone: 724-625-6400