Organization
LINCOLN BORO VFR CO AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BEISLER (PRESIDENT)
(412) 751-6080
Entity
Organization
Contact information
Practice address
4312 LIBERTY WAY, ELIZABETH, PA 15037-3033
(412) 751-6080
(412) 751-6080
Mailing address
4312 LIBERTY WAY, ELIZABETH, PA 15037-3033
(412) 751-6080
(412) 751-6080
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02024
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012034100002
—
PA
01
—
202874
BLUE CROSS/BLUE SHIELD
PA
01
—
207132
UPMC FOR LIFE HEALTH
PA
01
—
P00095486
RR MEDICARE/PALMETTO GBA
PA
Enumeration date
01/09/2006
Last updated
08/22/2020
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