Provider Demographics
NPI:1477594240
Name:SHALER AREA EMERGENCY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:SHALER AREA EMERGENCY MEDICAL SERVICES, INC.
Other - Org Name:SHALER EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEZEWSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:412-487-6590
Mailing Address - Street 1:PO BOX 18537
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0537
Mailing Address - Country:US
Mailing Address - Phone:412-487-6590
Mailing Address - Fax:412-487-2267
Practice Address - Street 1:339 WETZEL RD
Practice Address - Street 2:
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-2238
Practice Address - Country:US
Practice Address - Phone:412-487-6590
Practice Address - Fax:412-487-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040943416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
223067OtherMEDICARE
590007649OtherRR MEDICARE
PA0014084800005Medicaid