Provider Demographics
NPI:1306831219
Name:YORK REGIONAL EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:YORK REGIONAL EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-246-3679
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-0726
Mailing Address - Country:US
Mailing Address - Phone:717-724-4136
Mailing Address - Fax:717-214-6020
Practice Address - Street 1:36 E GEORGE ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-1202
Practice Address - Country:US
Practice Address - Phone:717-246-3679
Practice Address - Fax:717-246-1308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000843066Medicaid
PA000843066Medicaid