EXCELSIOR EMS LLC (NPI# 1588952246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588952246 |
Entity Type | Organization |
Organization Name | EXCELSIOR EMS LLC |
Practice Address |
7 W Bethany Rd Newmanstown PA 17073-9191 |
Practice Telephone | 6107571153 |
Practice Fax Number | 6107571154 |
Mailing Telephone | 6107571153 |
Mailing Fax Number | 6107571154 |
Enumeration Date | 2011-07-15 |
Last Update Date | 2012-01-23 |
Authorized Official Name | SHAWN M HICKERNELL (MANAGING PARTNER) |
Authorized Official Telephone | 6107571153 |
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 | 1026577140001 | 05 |
Street Address |
7 W BETHANY RD |
City | NEWMANSTOWN |
State | PA |
Zip Code | 17073-9191 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962461772 | Luanne Derstine Yeager | Family Medicine | 1297 Schaeffer Rd, Heritage Family Health, PC, Newmanstown, PA 17073-7023 | 2006-03-21 |
1861790164 | Heritage Family Health, PC | Family Medicine | 1297 Schaeffer Rd, Newmanstown, PA 17073-7023 | 2011-03-10 |
1790854073 | Joel Eugene Yeager | Family Medicine | 1297 Schaeffer Rd, Newmanstown, PA 17073-7023 | 2006-11-08 |
1699799478 | Christopher Russell Johnson | Occupational Therapist | 319 Sunnyside Rd, Newmanstown, PA 17073-8943 | 2006-07-26 |
1821245200 | Emily Marie Ziegler | Licensed Practical Nurse | 162 Schaeffer Rd, Newmanstown, PA 17073-8954 | 2008-08-27 |
1376929711 | Erin Murphy-yoder | Massage Therapist | 5 Progress Dr, Newmanstown, PA 17073-9013 | 2015-08-07 |
1568699460 | Mark P Gibble | Physical Therapy Assistant | 114 W Main St, Newmanstown, PA 17073-9077 | 2009-06-18 |
1821084898 | Newmanstown Volunteer Fire Company | Ambulance | 20 N Sheridan Rd, Newmanstown, PA 17073-9102 | 2005-09-23 |
1952673659 | Robert Mann Kline | General Practice | 614 State Route 419, Newmanstown, PA 17073-9133 | 2012-01-27 |
1730724360 | Emily Achey | Dietitian, Registered | 25 Rhine Rd, Newmanstown, PA 17073-9145 | 2019-11-06 |
Find all providers in zip 17073 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821084898 | Newmanstown Volunteer Fire Company | Ambulance | 20 N Sheridan Rd, Newmanstown, PA 17073-9102 | 2005-09-23 |
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Find all providers with the same taxonomy |
City | NEWMANSTOWN |
Zip Code | 17073 |
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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.