Organization
MCKEESPORT AMBULANCE AUTHORITY
Active
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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