Provider Demographics
NPI:1598957953
Name:COMMONWEALTH EMERGENCY SERVICES
Entity Type:Organization
Organization Name:COMMONWEALTH EMERGENCY SERVICES
Other - Org Name:COMMONWEALTH EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:PAEMT/ARC INST
Authorized Official - Phone:484-892-4273
Mailing Address - Street 1:107 HICKORY LANE
Mailing Address - Street 2:
Mailing Address - City:TAMAQUA
Mailing Address - State:PA
Mailing Address - Zip Code:18252-5318
Mailing Address - Country:US
Mailing Address - Phone:484-892-4270
Mailing Address - Fax:484-895-1191
Practice Address - Street 1:107 HICKORY LANE
Practice Address - Street 2:
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-5318
Practice Address - Country:US
Practice Address - Phone:484-892-4270
Practice Address - Fax:484-895-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport