Organization
NORTHEAST PARAMEDIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PROHASKA (BUSINESS MANAGER)
(570) 718-6980
Entity
Organization
Contact information
Practice address
273 UNION ST, LUZERNE, PA 18709-1411
(570) 718-6980
(570) 718-6983
Mailing address
PO BOX 1830, KINGSTON, PA 18704-0830
(570) 718-6980
(570) 718-6983
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03353
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018390300004
—
PA
01
—
225245
HIGHMARK
PA
01
—
998560
BLUE CROSS
PA
Enumeration date
11/01/2006
Last updated
08/22/2020
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