Tower Porter Community Ambulance Service

LBN: Community Ambulance Service Club
Tower Porter Community Ambulance Service is an health care organization with primary practice located at 633 East Colliery Avenue , Tower City PA 17980. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Community Ambulance Service Club can be contacted via phone (717) 943-8013, or through Deiter, Jeremiah A via phone (717) 943-8013.

Contact Information

Primary practice address
633 East Colliery Avenue Tower City PA 17980
Fax: (717) 647-2546
Website:
Authorized official contact:
Name: Deiter, Jeremiah A

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 04141 Pennsylvania

Profile Details

NPI number 1962538900
LBN Legal business name Community Ambulance Service Club
DBA Doing business as Tower Porter Community Ambulance Service
Authorized official Deiter, Jeremiah A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Sep 15th, 2015 - about 10 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 1962538900 NPPES
Pennsylvania Other 590007322 RR MEDICARE
Pennsylvania MEDICAID 0012143980004 RR MEDICARE
Pennsylvania Other 50004678 RR MEDICARE
Pennsylvania Other 0130130 RR MEDICARE
Pennsylvania Other 50004678 RR MEDICARE
Pennsylvania Other 893120 RR MEDICARE
Pennsylvania Other 20018661 RR MEDICARE

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