Provider Demographics
NPI:1518048016
Name:FIREMENS AMBULANCE CORPS OF UNIONTOWN PA
Entity Type:Organization
Organization Name:FIREMENS AMBULANCE CORPS OF UNIONTOWN PA
Other - Org Name:UNIONTOWN FIREMEN'S AMBULANCE CORPS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:DORULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-437-0730
Mailing Address - Street 1:PO BOX 7010
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-7010
Mailing Address - Country:US
Mailing Address - Phone:724-437-0730
Mailing Address - Fax:724-437-3281
Practice Address - Street 1:84 N BEESON BLVD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2971
Practice Address - Country:US
Practice Address - Phone:724-437-0730
Practice Address - Fax:724-437-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04288341600000X, 3416L0300X
PA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA590130780OtherPALMETTO GBA RR MEDICARE
PA0007605350002Medicaid
TX1362873OtherUMWA FUNDS
PA590130780OtherPALMETTO GBR RAILROAD
PA280215Medicare PIN