Organization
LAFAYETTE AMBULANCE AND RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ROSKOS (EXECUTIVE MANAGER)
(610) 992-0399
Entity
Organization
Contact information
Practice address
180 N HENDERSON RD, KING OF PRUSSIA, PA 19406-2123
(610) 992-0399
(610) 992-0162
Mailing address
180 N HENDERSON RD, KING OF PRUSSIA, PA 19406-2123
(610) 992-0399
(610) 992-0162
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03158
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000281328
HIGHMARK BLUECROSS BLUESH
PA
05
—
0012648720004
—
PA
01
—
0049083000
KEYSTONE HEALTH PLAN EAST
PA
01
—
07949
HEALTHPARTNERS
PA
01
—
20036290
AMERIHEALTH MERCY HEALTH
PA
01
—
281328
HIGHMARK BLUESHIELD
PA
01
—
X000238501
AMERICHOICE OF PA
PA
Enumeration date
05/03/2006
Last updated
03/07/2016
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