Provider Demographics
NPI:1306847983
Name:HAMPTON TOWNSHIP EMERGENCY MEDICAL SERVICE
Entity Type:Organization
Organization Name:HAMPTON TOWNSHIP EMERGENCY MEDICAL SERVICE
Other - Org Name:HAMPTON TOWNSHIP EMS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-486-2007
Mailing Address - Street 1:4725 ROUTE 8
Mailing Address - Street 2:P.O. BOX 833
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-0833
Mailing Address - Country:US
Mailing Address - Phone:412-486-2007
Mailing Address - Fax:412-486-2112
Practice Address - Street 1:4725 ROUTE 8
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-0833
Practice Address - Country:US
Practice Address - Phone:412-486-2007
Practice Address - Fax:412-486-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02278341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001188725Medicaid
PA281046Medicare ID - Type Unspecified