Provider Demographics
NPI:1003035213
Name:EAST HILLS AMBULANCE, INC
Entity Type:Organization
Organization Name:EAST HILLS AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRESSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SZALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-266-8910
Mailing Address - Street 1:3111 ELTON RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-2731
Mailing Address - Country:US
Mailing Address - Phone:814-266-8910
Mailing Address - Fax:814-269-3259
Practice Address - Street 1:3111 ELTON RD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-2731
Practice Address - Country:US
Practice Address - Phone:814-266-8910
Practice Address - Fax:814-269-3259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03104341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010318800001Medicaid
PA0010318800001Medicaid