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General NPI Number Information
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NPI Number | 1063567196
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL EMERGENCY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 8065 ALLENTOWN BLVD
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City | HARRISBURG
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State | PA
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Zip | 17112-9796
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Country | US
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Telephone | 717-671-4020
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Fax | 717-671-4026
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Provider Business Mailing Address
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Address Line | 8065 ALLENTOWN BLVD
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City | HARRISBURG
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State | PA
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Zip | 17112-9796
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Country | US
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Telephone | 717-671-4020
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Fax | 717-671-4026
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Authorized Official
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Title or Position | CHIEF/C.E.O.
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Name | MR. JASON QUINN CAMPBELL
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Credential | NRCCEMTP
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Telephone | 717-671-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 03164
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License Number State | PA
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