MEDICARE: BEAR CREEK BUCK TOWNSHIP AMBULANCE ASSOCIATION

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	40047	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	590011745	OTHER		UNITED HC RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	080161	OTHER	FIRST PRIORITY HEALTH
3	200371	OTHER	BC BS OF PA BLUE SHIELD
4	232402644	OTHER	BC OF NE PA
5	232402644	OTHER	PA TURNPIKE COMMISION
6	833809	OTHER	UMWA HEALTH RETIREMENT
7	0021908	OTHER	AETNA USHC BLUE BELL HMO
9	232402644	OTHER	HEALTHMATE HMO DPA

General Provider Information

NPI Number	:	1306825765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAR CREEK BUCK TOWNSHIP AMBULANCE ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 207
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18105-0207
Country	:	US
Telephone Number	:	484-664-2007
Fax Number	:	484-664-2015

Provider Business Practice Location Address
First Line	:	3335 BEAR CREEK BLVD
Second Line	:
City	:	BEAR CREEK TOWNSHIP
State	:	PA
Zip	:	18702-9760
Country	:	US
Telephone Number	:	570-825-7111
Fax Number	:	570-825-7111

Authorized Official
Title or Position	:	CHIEF
Name	:	MR. CHRIS MCGOWAN
Credential	:
Telephone Number	:	570-825-7111

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	11/22/2011

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