MEDICARE: PICTURE ROCKS VOL FIRE CO AMBULANCE

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	341600000X	Ambulance	03342	PA
2	3416L0300X	Land Ambulance

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	:	1992795025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PICTURE ROCKS VOL FIRE CO AMBULANCE

Provider Business Mailing Address
First Line	:	409 PORTER AVE
Second Line	:
City	:	SCOTTDALE
State	:	PA
Zip	:	15683-1141
Country	:	US
Telephone Number	:	724-887-6822
Fax Number	:	724-887-9440

Provider Business Practice Location Address
First Line	:	180 NORTH MAIN ST
Second Line	:
City	:	PICTURE ROCKS
State	:	PA
Zip	:	17762-9998
Country	:	US
Telephone Number	:	570-584-4115
Fax Number	:	570-584-2492

Authorized Official
Title or Position	:	SECRETARY
Name	:	LINDA A HOPKINS
Credential	:
Telephone Number	:	570-584-4115

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	12/12/2022

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Directions to “PICTURE ROCKS VOL FIRE CO AMBULANCE ” Practice Location

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