Healthcare Provider Details

I. General information

NPI: 1376538793
Provider Name (Legal Business Name): NOGA AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 WILMINGTON RD
NEW CASTLE PA
16105-1505
US

IV. Provider business mailing address

2615 WILMINGTON RD
NEW CASTLE PA
16105-1505
US

V. Phone/Fax

Practice location:
  • Phone: 724-652-8300
  • Fax: 724-656-0794
Mailing address:
  • Phone: 724-652-8300
  • Fax: 724-656-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number37018
License Number StatePA

VIII. Authorized Official

Name: MRS. EMMALOU NOGA
Title or Position: MANAGER
Credential:
Phone: 724-652-8300