Organization
SCHUYLKILL VALLEY EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BOBELLA (EXECUTIVE CHIEF)
(610) 926-3858
Entity
Organization
Contact information
Practice address
26 E. WALL STREET, LEESPORT, PA 19533-0490
(610) 926-3858
(610) 926-9585
Mailing address
PO BOX 490, LEESPORT, PA 19533-0490
(610) 926-3858
(610) 926-9585
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05063
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020636000
INDEPENDENCE BLUE CROSS
PA
01
—
284947
HIGHMARK BLUE SHIELD
PA
01
—
50007305
CAPITAL BLUE CROSS
PA
Enumeration date
01/31/2007
Last updated
11/27/2007
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