Provider Demographics
NPI:1225251382
Name:VETERANS MEMORIAL AMBULANCE SERVICE
Entity Type:Organization
Organization Name:VETERANS MEMORIAL AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:814-948-4750
Mailing Address - Street 1:202 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-1135
Mailing Address - Country:US
Mailing Address - Phone:814-948-4750
Mailing Address - Fax:814-948-6594
Practice Address - Street 1:202 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-1135
Practice Address - Country:US
Practice Address - Phone:814-948-4750
Practice Address - Fax:814-948-6594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06115341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance