Provider Demographics
NPI:1043399546
Name:INTERSTATE NURSING SERVICES INC
Entity Type:Organization
Organization Name:INTERSTATE NURSING SERVICES INC
Other - Org Name:WHITEHALL MEDICAL TRANSPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MARAGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-262-2403
Mailing Address - Street 1:4119 REDBUD DR W
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-1951
Mailing Address - Country:US
Mailing Address - Phone:610-262-2403
Mailing Address - Fax:
Practice Address - Street 1:4119 REDBUD DR W
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-1951
Practice Address - Country:US
Practice Address - Phone:610-262-2403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA061383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport