Healthcare Provider Details

I. General information

NPI: 1265566913
Provider Name (Legal Business Name): WESTERN ALLIANCE EMERGENCY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 CANTON ST
TROY PA
16947-1444
US

IV. Provider business mailing address

PO BOX 13
TROY PA
16947-0013
US

V. Phone/Fax

Practice location:
  • Phone: 570-297-1235
  • Fax:
Mailing address:
  • Phone: 570-297-1235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: THOMAS CARMAN
Title or Position: EXECUTIVE DIRECTOR-CEO
Credential:
Phone: 570-297-1235