Provider Demographics
NPI:1275526519
Name:VETERANS MEMORIAL AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:VETERANS MEMORIAL AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-325-4003
Mailing Address - Street 1:4158 OLD WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1933
Mailing Address - Country:US
Mailing Address - Phone:724-325-4003
Mailing Address - Fax:724-325-1603
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:2005-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031133416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009432950001Medicaid
PA283888Medicare ID - Type Unspecified