CONNEAUT LAKE AREA AMBULANCE SERVICE


Address: 290 S 4th St Extension, Conneaut Lake, PA 16316
Phone: 8143821133

CONNEAUT LAKE AREA AMBULANCE SERVICE (NPI# 1447220751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447220751
Entity Type Organization
Organization Name CONNEAUT LAKE AREA AMBULANCE SERVICE
Practice Address 290 S 4th St Extension
Conneaut Lake
PA 16316
Mailing Address Po Box 546
Conneaut Lake
PA 16316-0546
Practice Telephone 8143821133
Practice Fax Number 8143829285
Mailing Telephone 8143821133
Mailing Fax Number 8143829285
Enumeration Date 2006-01-26
Last Update Date 2008-04-24
Authorized Official Name MADEIRA T. PARASKOS (CEO)
Authorized Official Telephone 8143821133
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
PA 0009844110002 05
PA BLUE CROSS BLUE SHIELD 280240 01

Office Location

Street Address 290 S 4TH ST EXTENSION
City CONNEAUT LAKE
State PA
Zip Code 16316

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083268858 Kimberly Nicole Litwin Pharmacist 100 South 3rd Street, Conneaut Lake, PA 16316 2019-07-30
1285800862 Beverly A Kennedy Pharmacist 100 S Third St, Conneaut Lake, PA 16316 2008-05-05
1063596708 Thrift Drug Inc Durable Medical Equipment & Medical Supplies 100 South Third Street, Conneaut Lake, PA 16316 2006-10-25
1295829273 Chrissy M Bosley Counselor 11147 State Hwy 18 Suite #5, Suite #5, Conneaut Lake, PA 16316 2006-10-03
1992713903 Lakeside Chiropractic PC Chiropractor 200 N Third St, Conneaut Lake, PA 16316 2006-08-04
1275516619 Paul Thomas Foulk Dentist 155 N 3rd St, Conneaut Lake, PA 16316 2005-11-21
1558661413 Denise Lee Bean Pharmacist 100 South Third Street, Conneaut Lake, PA 16316 2010-10-26
1194922310 Leighanne Young Pharmacist 100 South Third Street, Conneaut Lake, PA 16316 2007-06-29
1003929308 Timothy B Vyrostek Chiropractor 200 N Third St, Lakeside Chiropractic PC, Conneaut Lake, PA 16316 2006-08-17
1225321649 Dale R Weaver Pharmacist 100 South Third St., Conneaut Lake, PA 16316-1108 2011-05-18
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1548810054 Medicteam LLC Ambulance 55 New St Ste 20, Ephrata, PA 17522-2815 2019-09-17
1639735830 Precise Medical Response Ambulance 6118 Glenloch St, Philadelphia, PA 19135-3613 2019-05-13
1558926758 S & S Medical Transport LLC Ambulance 1608 Colonial Cir, Lebanon, PA 17046-1964 2019-05-03
1811552136 Ambulnz Pa, LLC Ambulance 154 Hansen Access Rd, King of Prussia, PA 19406-2404 2019-05-02
1134681786 Starbrick Volunteer Fire Department Ambulance 5 Firemans St, Warren, PA 16365-3701 2019-04-03
1336612415 Landisburg Ems Inc Ambulance 301 Faculty Ave, Landisburg, PA 17040-0122 2019-01-10
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Competitor

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City CONNEAUT LAKE
Zip Code 16316

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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