Conneaut Lake Area Ambulance Service

LBN: Conneaut Lake Area Ambulance Service
Conneaut Lake Area Ambulance Service is an health care organization with primary practice located at 290 S 4Th St Extension , Conneaut Lake PA 16316. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Conneaut Lake Area Ambulance Service can be contacted via phone (814) 382-1133, or through Paraskos, Madeira T. via phone (814) 382-1133.

Contact Information

Primary practice address
290 S 4Th St Extension Conneaut Lake PA 16316
Phone: (814) 382-1133
Fax: (814) 382-9285
Website:
Map and Directions
Authorized official contact:
Name: Paraskos, Madeira T.
Phone: (814) 382-1133

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1447220751
LBN Legal business name Conneaut Lake Area Ambulance Service
DBA Doing business as
Authorized official Paraskos, Madeira T.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 24th, 2008 - 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 1447220751 NPPES
Pennsylvania Other 280240 BLUE CROSS BLUE SHIELD
Pennsylvania MEDICAID 0009844110002 BLUE CROSS BLUE SHIELD

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