Provider Demographics
NPI:1376517540
Name:C&S AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:C&S AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAPORALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-568-3864
Mailing Address - Street 1:700 HOLLAND STREET
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1444
Mailing Address - Country:US
Mailing Address - Phone:724-568-3864
Mailing Address - Fax:724-794-1633
Practice Address - Street 1:700 HOLLAND STREET
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1444
Practice Address - Country:US
Practice Address - Phone:724-568-3864
Practice Address - Fax:724-794-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA010583416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011387790006Medicaid
PA202414OtherBLUE CROSS/BLUE SHIELD
PA590005099OtherRR MEDICARE/PALMETTO GBA
PA109733OtherHEALTH AMERICA/HEALTH ASS
PA5095190OtherAETNA
PA202414OtherUNITED AMERICAN INSURANCE
PA70019OtherUNISON
PA1010537OtherGATEWAY HEALTH PLAN
PA201360OtherUPMC HELATH PLAN
PA70019OtherUNISON
PA201360OtherUPMC HELATH PLAN
PA202414OtherUNITED AMERICAN INSURANCE
PA=========OtherADVANTRA