MEDICARE: EAST PENNSBORO AMBULANCE SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	04004	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073519567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST PENNSBORO AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	PO BOX 726
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-0726
Country	:	US
Telephone Number	:	717-214-6018
Fax Number	:	717-214-6020

Provider Business Practice Location Address
First Line	:	10 SALT RD
Second Line	:
City	:	ENOLA
State	:	PA
Zip	:	17025-2017
Country	:	US
Telephone Number	:	717-732-5552
Fax Number	:	717-728-9501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTOPHER BOWERS
Credential	:
Telephone Number	:	717-724-4136

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	09/04/2025

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