Provider Demographics
NPI:1437194503
Name:WEST HILLS REGIONAL FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:WEST HILLS REGIONAL FIRE DEPARTMENT INC
Other - Org Name:HILLTOP AMBULANCE ASSOCIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-255-7777
Mailing Address - Street 1:1000 LUZERNE ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-2508
Mailing Address - Country:US
Mailing Address - Phone:814-255-7777
Mailing Address - Fax:
Practice Address - Street 1:1000 LUZERNE ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-2508
Practice Address - Country:US
Practice Address - Phone:814-255-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA590013147OtherRAILROAD MEDICARE
PA0010658410002Medicaid
PA80600500OtherFEDERAL BLACK LUNG
PA206684OtherHIGHMARK
PA0010658410002Medicaid