MEDICARE: SOUTHERN YORK COUNTY EMERGENCY MEDICAL SERVICES

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	03132	PA

General Provider Information

NPI Number	:	1467837815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN YORK COUNTY EMERGENCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 31
Second Line	:
City	:	FAWN GROVE
State	:	PA
Zip	:	17321-0031
Country	:	US
Telephone Number	:	717-382-4432
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 S. MARKET ST.
Second Line	:
City	:	FAWN GROVE
State	:	PA
Zip	:	17321-9659
Country	:	US
Telephone Number	:	717-382-4432
Fax Number	:

Authorized Official
Title or Position	:	EMS MANAGER
Name	:	ALEX CHRIST
Credential	:
Telephone Number	:	717-382-4432

Provider Enumeration Date	:	07/28/2015
Last Update Date	:	07/28/2015

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