Provider Demographics
NPI:1568458180
Name:UNION CITY AMBULANCE SERVICE COMPANY
Entity Type:Organization
Organization Name:UNION CITY AMBULANCE SERVICE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:EASTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-438-2370
Mailing Address - Street 1:50 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438-1244
Mailing Address - Country:US
Mailing Address - Phone:814-438-2370
Mailing Address - Fax:814-438-2302
Practice Address - Street 1:50 2ND AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:PA
Practice Address - Zip Code:16438-1244
Practice Address - Country:US
Practice Address - Phone:814-438-2370
Practice Address - Fax:814-438-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
346182OtherHEALTH AMERICA/ASSURANCE
PA0016284660001Medicaid
PA0016284660001Medicaid
PA098440Medicare PIN