Provider Demographics
NPI:1598718223
Name:SABINSVILLE FIREMENS AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:SABINSVILLE FIREMENS AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUGHTALING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-628-5217
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:SABINSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16943-0156
Mailing Address - Country:US
Mailing Address - Phone:814-628-5217
Mailing Address - Fax:
Practice Address - Street 1:1021 LOCUST ST
Practice Address - Street 2:
Practice Address - City:SABINSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16943
Practice Address - Country:US
Practice Address - Phone:814-628-5217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA221130OtherHEALTH AMERICA/ASSURANCE
PA0007062270001Medicaid
PA289243Medicare PIN