Provider Demographics
NPI:1275544637
Name:MUNHALL AREA PREHOSPITAL SERVICES
Entity Type:Organization
Organization Name:MUNHALL AREA PREHOSPITAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-464-7329
Mailing Address - Street 1:1902 WEST ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-2535
Mailing Address - Country:US
Mailing Address - Phone:412-464-7329
Mailing Address - Fax:412-464-3353
Practice Address - Street 1:1902 WEST ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-2535
Practice Address - Country:US
Practice Address - Phone:412-464-7329
Practice Address - Fax:412-464-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA021643416L0300X
PA050153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016117810005Medicaid
PA0016117810005Medicaid