Provider Demographics
NPI:1154459501
Name:HEGINS AREA AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:HEGINS AREA AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:CASSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-682-3598
Mailing Address - Street 1:PO BOX 678
Mailing Address - Street 2:
Mailing Address - City:VALLEY VIEW
Mailing Address - State:PA
Mailing Address - Zip Code:17983-0678
Mailing Address - Country:US
Mailing Address - Phone:570-682-3598
Mailing Address - Fax:570-682-2888
Practice Address - Street 1:352 GAP STREET
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:PA
Practice Address - Zip Code:17983
Practice Address - Country:US
Practice Address - Phone:570-682-9473
Practice Address - Fax:717-365-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05184341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance