Provider Demographics
NPI:1033190228
Name:TRANS-MED AMBULANCE INC.
Entity Type:Organization
Organization Name:TRANS-MED AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOMER
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERLEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-283-2444
Mailing Address - Street 1:14 MARION ST
Mailing Address - Street 2:
Mailing Address - City:LUZERNE
Mailing Address - State:PA
Mailing Address - Zip Code:18709-1419
Mailing Address - Country:US
Mailing Address - Phone:570-283-2444
Mailing Address - Fax:570-287-3384
Practice Address - Street 1:14 MARION ST
Practice Address - Street 2:
Practice Address - City:LUZERNE
Practice Address - State:PA
Practice Address - Zip Code:18709-1419
Practice Address - Country:US
Practice Address - Phone:570-283-2444
Practice Address - Fax:570-287-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04250341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0978405OtherUNISON
PA20046443OtherAMERI HEALTH
PA998503OtherCAPTIAL BLUE CROSS
PA205186OtherFEDERAL BLUE CROSS
PA998503OtherBC/BS
PAP00155849OtherMEDICARE TRAVELERS
PA0459812OtherAETNA
PA1011364360001Medicaid
PA611668600OtherBLACK LUNG
PA998503OtherBLUE CROSS/BLUE SHIELD NE
PA818408OtherFIRST PRIORITY
PA1011364360002Medicaid
PA1011364360001Medicaid
PA0978405OtherUNISON