Organization
NORTHERN VALLEY EMERGENCY MEDICAL SERVICES INC
Active
Other names
Northern Valley EMS or NOVA
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L BRENEISER (OFFICE MANAGER)
(610) 262-1075
Entity
Organization
Contact information
Practice address
2375 LEVANS RD, COPLAY, PA 18037-2202
(610) 262-1075
(610) 262-8630
Mailing address
2375 LEVANS RD, COPLAY, PA 18037-2202
(610) 262-1075
(610) 262-8630
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017025720001
—
PA
01
—
1067558
AMERIHEALTH CARITAS/NORTHEAST
PA
01
—
1505976
GATEWAY HEALTH PLAN
PA
Enumeration date
12/13/2005
Last updated
03/04/2016
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