Provider Demographics
NPI:1386625671
Name:ERIE EMERGENCY CARE UNIT
Entity Type:Organization
Organization Name:ERIE EMERGENCY CARE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:CORWIN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:620-244-3852
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:KS
Mailing Address - Zip Code:66733-0023
Mailing Address - Country:US
Mailing Address - Phone:620-244-3852
Mailing Address - Fax:620-244-3851
Practice Address - Street 1:515 POWER DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:KS
Practice Address - Zip Code:66733-4226
Practice Address - Country:US
Practice Address - Phone:620-244-3852
Practice Address - Fax:620-244-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5803416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS005884Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER