Beaverdale Area Ambulance Service, Inc.

LBN: Beaverdale Area Ambulance Service, Inc.
Beaverdale Area Ambulance Service, Inc. is an health care organization with primary practice located at 618 Cameron Ave Box 435, Beaverdale PA 15921-0435. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Beaverdale Area Ambulance Service, Inc. can be contacted via phone (814) 487-5407, or through Evanckic, William M. via phone (814) 487-5407.

Contact Information

Primary practice address
618 Cameron Ave Box 435 Beaverdale PA 15921-0435
Fax: (814) 487-5407
Website:
Authorized official contact:
Name: Evanckic, William M.

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 1100379 Pennsylvania
Transportation Services / Land Transport 3416L0300X 06118 Pennsylvania

Profile Details

NPI number 1568441814
LBN Legal business name Beaverdale Area Ambulance Service, Inc.
DBA Doing business as
Authorized official Evanckic, William M.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2006
Last updated Dec 3rd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568441814 NPPES
Pennsylvania MEDICAID 0007322270002
Pennsylvania Other 000286911

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