Organization
BRENTWOOD EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NICHOLAS BALKOVEC EMT-P (OPERATIONS SUPERVISOR)
(412) 884-8740
Entity
Organization
Contact information
Practice address
3624 BROWNSVILLE RD, PITTSBURGH, PA 15227-3153
(412) 884-8740
(412) 884-8681
Mailing address
3624 BROWNSVILLE RD, PITTSBURGH, PA 15227-3153
(412) 884-8740
(412) 884-8681
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
03125
PA
146N00000X
Basic Emergency Medical Technician
03125
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000075131
THREE RIVERS
PA
05
—
0010027700001
—
PA
01
—
1005476
GATEWAY
PA
01
—
1647
ADVANTRA
PA
01
—
201296
UPMC
PA
01
—
280983
BCBS
PA
01
—
590002470
TRC
PA
01
—
5922183
AETNA US HEALTHCARE
PA
Enumeration date
10/20/2006
Last updated
11/26/2012
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