Organization
THE CRESCENT HOSE COMPANY
Active
Other names
North East Fire Dept Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK DIORAZIO III (AMBULANCE ADMINISTRATOR)
(814) 725-1047
Entity
Organization
Contact information
Practice address
36 E MAIN ST, NORTH EAST, PA 16428-1341
(814) 725-1047
(814) 725-2603
Mailing address
PO BOX 89, NORTH EAST, PA 16428-0089
(814) 725-1047
(814) 725-2603
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103047504001
—
PA
01
—
219622
UPMC HEALTH PLAN
PA
01
—
286459
BLUE CROSS/BLUE SHIELD
PA
01
—
345104
HEALTH AMERICA
PA
01
—
590015490
PALMETTO GBA
PA
Enumeration date
02/13/2006
Last updated
08/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us