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Organization

COOPERSBURG EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT NEWHARD (CHIEF OPERATING OFFICER)
(610) 282-8435
Entity
Organization

Contact information

Practice address
5 N MAIN ST REAR, COOPERSBURG, PA 18036-1525
(610) 282-8435
Mailing address
5 N MAIN ST REAR, P.O. BOX 162, COOPERSBURG, PA 18036-1525
(610) 282-8435

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03122
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000144012
UNISON HP
PA
01
0119137
AETNA
PA
01
0731981000
INDEPENDENCE BLUE CROSS
PA
01
1161083
KEYSTONE MERCY HEALTH PL
PA
01
1529392
GATEWAY HEALTH PLAN
PA
01
20010064
AMERIHEALTH MERCY HP
PA
01
215695
HIGHMARK
PA
01
50004704
CAPITAL BLUE CROSS
PA
Enumeration date
08/05/2006
Last updated
08/22/2020
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