Provider Demographics
NPI:1629084421
Name:TOWNVILLE AREA AMBULANCE SERVICE
Entity Type:Organization
Organization Name:TOWNVILLE AREA AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-967-2324
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:TOWNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16360-0085
Mailing Address - Country:US
Mailing Address - Phone:814-967-2324
Mailing Address - Fax:
Practice Address - Street 1:33441 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TOWNVILLE
Practice Address - State:PA
Practice Address - Zip Code:16360-2719
Practice Address - Country:US
Practice Address - Phone:814-967-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008069930002OtherION HEALTH
PA0008069930002Medicaid
PA066710Medicare PIN
PA0008069930002Medicaid