Healthcare Provider Details

I. General information

NPI: 1942362926
Provider Name (Legal Business Name): NEW BLOOMFIELD EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 W HIGH ST
NEW BLOOMFIELD PA
17068-0313
US

IV. Provider business mailing address

PO BOX 313
NEW BLOOMFIELD PA
17068-0313
US

V. Phone/Fax

Practice location:
  • Phone: 717-582-7471
  • Fax: 717-582-7352
Mailing address:
  • Phone: 717-582-7471
  • Fax: 717-582-7352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number05105
License Number StatePA

VIII. Authorized Official

Name: MRS. ROSIE MAY CAMPBELL
Title or Position: SECRETARY
Credential:
Phone: 717-582-7471