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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0009844110002 | 05 | |
PA | BLUE CROSS BLUE SHIELD | 280240 | 01 |
Street Address |
290 S 4TH ST EXTENSION |
City | CONNEAUT LAKE |
State | PA |
Zip Code | 16316 |
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 |
Find all providers in zip 16316 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | CONNEAUT LAKE |
Zip Code | 16316 |
Please comment or provide details below to improve the information on CONNEAUT LAKE AREA AMBULANCE SERVICE.
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.