Organization
PENNSYLVANIA MEDICAL TRANSPORT, INC.
Active
Organization
PENNSYLVANIA MEDICAL TRANSPORT, INC.
Active
Other names
Medevac Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L HELTMAN (PRESIDENT)
(724) 752-1413
Entity
Organization
Contact information
Practice address
332 WAMPUM AVE, ELLWOOD CITY, PA 16117-1269
(724) 752-1413
(724) 752-1402
Mailing address
332 WAMPUM AVE, ELLWOOD CITY, PA 16117-1269
(724) 752-1413
(724) 752-1402
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012532420004
—
PA
01
—
0120225
AETNA
PA
05
—
1500578
—
PA
01
—
201100
UPMC HEALTH PLAN
PA
01
—
P020314
CHAMPA/CHAMPUS
PA
Enumeration date
07/25/2006
Last updated
08/22/2020
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