MEDICARE: RICHFIELD AMBULANCE LEAGUE 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	146N00000X	Basic Emergency Medical Technician	04042	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	:	1629121355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHFIELD AMBULANCE LEAGUE INC

Provider Business Mailing Address
First Line	:	PO BOX 236
Second Line	:
City	:	RICHFIELD
State	:	PA
Zip	:	17086-0236
Country	:	US
Telephone Number	:	717-694-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	ROUTE 35 WEST
Second Line	:
City	:	RICHFIELD
State	:	PA
Zip	:	17086
Country	:	US
Telephone Number	:	717-694-3711
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROSEMARY HUNSBERGER
Credential	:
Telephone Number	:	570-539-4075

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/07/2009

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