Provider Demographics
NPI:1235113986
Name:NORTHAMPTON REGIONAL EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:NORTHAMPTON REGIONAL EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:WESCOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-262-0800
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-0116
Mailing Address - Country:US
Mailing Address - Phone:610-262-0800
Mailing Address - Fax:610-262-1522
Practice Address - Street 1:1525 CANAL ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1423
Practice Address - Country:US
Practice Address - Phone:610-262-0800
Practice Address - Fax:610-262-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1386954OtherAMERIHEALTH ADMINISTRATORS
PA0013977610001Medicaid
PA0051271000OtherINDEPENDENCE BLUE CROSS
PA1005624OtherAMERIHEALTH CARITAS HEALTH PLAN
PA50001404OtherCAPITAL BLUE CROSS
PA1504818OtherGATEWAY HEALTH PLAN
PA000000318215OtherUNITED HEALTHCARE
PA0005517038OtherAETNA
PA0005517038OtherAETNA
PA286954Medicare PIN