Organization
CONNEAUT LAKE AREA AMBULANCE SERVICE
Active
Organization
CONNEAUT LAKE AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADEIRA T. PARASKOS (CEO)
(814) 382-1133
Entity
Organization
Contact information
Practice address
290 S 4TH ST EXTENSION, CONNEAUT LAKE, PA 16316
(814) 382-1133
(814) 382-9285
Mailing address
PO BOX 546, CONNEAUT LAKE, PA 16316-0546
(814) 382-1133
(814) 382-9285
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009844110002
—
PA
01
—
280240
BLUE CROSS BLUE SHIELD
PA
Enumeration date
01/26/2006
Last updated
04/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up