Organization
L-J-L TRUCKING INC.
Active
Other names
MED-VAN TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
LIN S YACHTIS (VICE PRESIDENT)
(814) 948-6170
Entity
Organization
Contact information
Practice address
1311 PHILADELPHIA AVE, NORTHERN CAMBRIA, PA 15714
(814) 948-6170
(814) 948-6184
Mailing address
1311 PHILADELPHIA AVE, NORTHERN CAMBRIA, PA 15714-1181
(814) 948-6170
(814) 948-6184
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
11203
PA
341600000X
Ambulance
Primary
11203
PA
343900000X
Non-emergency Medical Transport (VAN)
A-00112962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006807870004
—
PA
01
—
1036516
GATEWAY HEALTH PLAN #
PA
01
—
150075
UMWA PROVIDER NUMBER
PA
01
—
226349
BLUE CROSS
PA
01
—
590010965
RAILROAD MEDICARE NUMBER
PA
Enumeration date
10/27/2005
Last updated
07/25/2023
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