Provider Demographics
NPI:1598959231
Name:MARCLAY EMS INC.
Entity Type:Organization
Organization Name:MARCLAY EMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:724-329-1314
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:MARKLEYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15459-0005
Mailing Address - Country:US
Mailing Address - Phone:724-329-1314
Mailing Address - Fax:724-780-8515
Practice Address - Street 1:4619A NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:MARKLEYSBURG
Practice Address - State:PA
Practice Address - Zip Code:15459-1033
Practice Address - Country:US
Practice Address - Phone:724-329-1314
Practice Address - Fax:724-780-8515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05224341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00000200406OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA00000206533OtherUNISON
PA1504864OtherGATEWAY MEDICAID
PA1020554030001Medicaid
PA1222818OtherUPMC FOR YOU
PA708999OtherUPMC FOR LIFE
PA1534160OtherGATEWAY MEDICARE
PA1504864OtherGATEWAY MEDICAID