Organization
CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA
Active
Other names
STAT MedEvac
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD FRANK GOODMAN (CFO)
(412) 432-5007
Entity
Organization
Contact information
Practice address
10 ALLEGHENY COUNTY AIRPORT, WEST MIFFLIN, PA 15122-2673
(412) 432-5007
(412) 864-0197
Mailing address
2 HOT METAL ST, QUANTUM 1 - 3RD FLOOR, ROOM 376, PITTSBURGH, PA 15203-2348
(412) 432-5007
(412) 864-0197
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
03085
PA
3416A0800X
Air Ambulance
Primary
03085
PA
3416A0800X
Air Ambulance
10774
NY
3416L0300X
Land Ambulance
03085
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010996990004
—
PA
05
—
009020381
—
VA
05
—
0134147
—
NJ
05
—
0146055000
—
WV
05
—
01872540
—
NY
05
—
0196339 00
—
DC
05
—
0677996
—
OH
05
—
1012088
—
VT
05
—
1700831401
—
DE
05
—
184710550
—
MI
05
—
20001746
—
NH
05
—
421498600
—
MD
05
—
4582437
—
TN
01
—
590008485
PALMETTA GBA MEDICARE
PA
05
—
7100006540
—
KY
Enumeration date
05/23/2006
Last updated
10/04/2024
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