Provider Demographics
NPI:1407333891
Name:PATRIOT SAFETY SERVICES, INC.
Entity Type:Organization
Organization Name:PATRIOT SAFETY SERVICES, INC.
Other - Org Name:PATRIOT SAFETY & HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HEPFER-MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-592-8809
Mailing Address - Street 1:1343 CURWENSVILLE GRAMPIAN HWY
Mailing Address - Street 2:
Mailing Address - City:GRAMPIAN
Mailing Address - State:PA
Mailing Address - Zip Code:16838-7922
Mailing Address - Country:US
Mailing Address - Phone:814-791-0007
Mailing Address - Fax:814-791-0008
Practice Address - Street 1:1343 CURWENSVILLE GRAMPIAN HWY
Practice Address - Street 2:
Practice Address - City:GRAMPIAN
Practice Address - State:PA
Practice Address - Zip Code:16838-7922
Practice Address - Country:US
Practice Address - Phone:814-791-0007
Practice Address - Fax:814-791-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center