Healthcare Provider Details

I. General information

NPI: 1174602585
Provider Name (Legal Business Name): CENTRAL ERIE COUNTY PARAMEDIC ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 SCHOOL ST
MC KEAN PA
16426-1413
US

IV. Provider business mailing address

PO BOX 241
MC KEAN PA
16426-0241
US

V. Phone/Fax

Practice location:
  • Phone: 814-476-1118
  • Fax:
Mailing address:
  • Phone: 814-476-1118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number03267
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03267
License Number StatePA

VIII. Authorized Official

Name: JAMES PYLE
Title or Position: PRESIDENT
Credential:
Phone: 814-273-3327