Provider Demographics
NPI:1235276775
Name:MUNICIPALITY OF PENN HILLS
Entity Type:Organization
Organization Name:MUNICIPALITY OF PENN HILLS
Other - Org Name:PENN HILLS EMERGENCY MEDICAL SERVICES DIVISION
Other - Org Type:Other Name
Authorized Official - Title/Position:EMS SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:G
Authorized Official - Last Name:FITZHENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-798-2041
Mailing Address - Street 1:12245 FRANKSTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3494
Mailing Address - Country:US
Mailing Address - Phone:412-798-2041
Mailing Address - Fax:412-798-2145
Practice Address - Street 1:12245 FRANKSTOWN ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3494
Practice Address - Country:US
Practice Address - Phone:412-798-2041
Practice Address - Fax:412-798-2145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02082341600000X
PA05199341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100772440Medicaid
PA281117Medicare PIN