Healthcare Provider Details

I. General information

NPI: 1023001369
Provider Name (Legal Business Name): MURRYSVILLE MEDIC NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3237 SARDIS RD
MURRYSVILLE PA
15668-1230
US

IV. Provider business mailing address

PO BOX 18533
PITTSBURGH PA
15236-0533
US

V. Phone/Fax

Practice location:
  • Phone: 724-327-1222
  • Fax: 724-327-7686
Mailing address:
  • Phone: 724-327-1222
  • Fax: 724-234-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number03001
License Number StatePA

VIII. Authorized Official

Name: MR. JAMES DARRICK GERANO
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 724-325-4003