Organization
MCKEESPORT AMBULANCE AUTHORITY
Active
Other names
McKeesport Ambulance Rescue Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RICHARD MILLER EMTP (EXECUTIVE DIRECTOR)
(412) 675-5079
Entity
Organization
Contact information
Practice address
1604 EVANS AVENUE, MCKEESPORT, PA 15132
(412) 675-5076
(412) 675-5072
Mailing address
PO BOX 580, 1604 EVANS AVE, MCKEESPORT, PA 15134-0580
(412) 675-5076
(412) 675-5072
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05163
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012427590002
—
PA
01
—
1003418
GATEWAY HP
—
01
—
61402
UNISON
—
Enumeration date
08/09/2006
Last updated
08/22/2020
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