Organization
ROSTRAVER WEST NEWTON EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG COMINSKY (OFFICE MANAGER)
(724) 929-9116
Entity
Organization
Contact information
Practice address
100 PLEASANT VALLEY BLVD, BELLE VERNON, PA 15012-4002
(724) 929-9116
(724) 929-3159
Mailing address
PO BOX 603, BELLE VERNON, PA 15012-0603
(724) 929-9116
(724) 929-3159
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04162
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010642360006
—
PA
01
—
1004361
GATEWAY
PA
01
—
103703
UPMC FOR LIFE MEDICARE
PA
01
—
333404
ADVANTRA
PA
Enumeration date
10/28/2005
Last updated
08/02/2012
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