Healthcare Provider Details

I. General information

NPI: 1568443828
Provider Name (Legal Business Name): MORRISVILLE AMBULANCE SQUAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2005
Last Update Date: 07/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 WASHINGTON ST
MORRISVILLE PA
19067
US

IV. Provider business mailing address

PO BOX 726
NEW CUMBERLAND PA
17070-0726
US

V. Phone/Fax

Practice location:
  • Phone: 215-295-6766
  • Fax: 215-428-2782
Mailing address:
  • Phone: 717-724-4136
  • Fax: 717-635-6176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03195
License Number StatePA

VIII. Authorized Official

Name: BRIAN ECKERT
Title or Position: CHIEF
Credential:
Phone: 717-724-4136