Organization
MEADVILLE AREA AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC S. HENRY (CEO/OWNER)
(814) 724-7598
Entity
Organization
Contact information
Practice address
872 WATER ST, MEADVILLE, PA 16335-3455
(814) 724-7598
(814) 337-1153
Mailing address
872 WATER ST, MEADVILLE, PA 16335-3455
(814) 724-7598
(814) 337-1153
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001629049
HIGHMARK BLUE SHIELD
PA
01
—
1010125550001
ION HEALTH
PA
05
—
1010125550001
—
PA
01
—
2305927000
INDEPENDENCE BLUE
PA
01
—
241887
HEALTH AMERICA
PA
01
—
606018100
FEDERAL BLACK LUNG PROGRAM
PA
Enumeration date
07/21/2006
Last updated
05/26/2015
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