Provider Demographics
NPI:1174504625
Name:ROSS WEST VIEW EMERGENCY MEDICAL SERVICES AUTHORITY
Entity Type:Organization
Organization Name:ROSS WEST VIEW EMERGENCY MEDICAL SERVICES AUTHORITY
Other - Org Name:ROSS/WEST VIEW EMS AUTHORITY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:VAN AUKER
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-931-8200
Mailing Address - Street 1:PO BOX 18533
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0533
Mailing Address - Country:US
Mailing Address - Phone:412-931-8200
Mailing Address - Fax:412-931-4685
Practice Address - Street 1:5325 PERRYSVILLE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-2100
Practice Address - Country:US
Practice Address - Phone:412-931-8200
Practice Address - Fax:412-931-4685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02036341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007600430004Medicaid
PA284193Medicare ID - Type Unspecified