Provider Demographics
NPI:1407834203
Name:BEDFORD AREA AMBULANCE SERVICE
Entity Type:Organization
Organization Name:BEDFORD AREA AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEEGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-623-6534
Mailing Address - Street 1:PO BOX 625
Mailing Address - Street 2:130 W. VONDERSMITH AVE.
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1727
Mailing Address - Country:US
Mailing Address - Phone:814-623-6534
Mailing Address - Fax:814-623-0648
Practice Address - Street 1:130 W VONDERSMITH AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1727
Practice Address - Country:US
Practice Address - Phone:814-623-6534
Practice Address - Fax:814-623-0648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007002600001Medicaid
PA286458OtherHIGHMARK
PA885355OtherUNITED MINE WORKERS OF AM
PA885355OtherUNITED MINE WORKERS OF AM