Organization
HOUTDALE EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY K TORMEY (BILLING DEPT.)
(814) 378-8622
Entity
Organization
Contact information
Practice address
816 ELIZABETH STREET BOX 224, HOUTZDALE, PA 16651-1322
(814) 378-8622
Mailing address
816 ELIZABETH ST, PO BOX 224, HOUTZDALE, PA 16651-1322
(814) 378-8622
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
17012
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000204441
HIGHMARK
PA
05
—
0010750150003
—
PA
01
—
089491900
BLACK LUNG
PA
01
—
1007200086
UNITED HEALTH
PA
01
—
189523647
PEBTF
PA
01
—
204441
UMWA
PA
01
—
216161
UPMC FOR YOU
PA
01
—
590006782
RR MEDICARE
PA
Enumeration date
01/21/2006
Last updated
11/27/2012
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