Provider Demographics
NPI:1477608057
Name:POINT PLEASANT PLUMSTEADVILLE EMS
Entity Type:Organization
Organization Name:POINT PLEASANT PLUMSTEADVILLE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR, CLIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:R
Authorized Official - Last Name:THORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-724-4141
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:PLUMSTEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18949-0391
Mailing Address - Country:US
Mailing Address - Phone:215-766-7285
Mailing Address - Fax:215-766-1988
Practice Address - Street 1:5205 STUMP RD
Practice Address - Street 2:
Practice Address - City:PLUMSTEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:18949
Practice Address - Country:US
Practice Address - Phone:215-766-7285
Practice Address - Fax:215-766-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20036851OtherAMERIHEALTH MERCY HP
PA33143OtherHEALTH PARTNERS
PA242314OtherHIGHMARK
PA1065878OtherKEYSTONE MERCY HP
PA0023634000OtherINDEPENDENCE BLUE CROSS
PA0018124580001Medicaid
PA1011411OtherAETNA HEALTH PLAN
PA242314OtherHIGHMARK
PA33143OtherHEALTH PARTNERS
PA590011818Medicare ID - Type UnspecifiedRAILROAD MEDICARE