Provider Demographics
NPI:1629748793
Name:CODE 3 EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:CODE 3 EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CORNELL
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:NREMT, BS
Authorized Official - Phone:717-431-0767
Mailing Address - Street 1:PO BOX 831
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-0831
Mailing Address - Country:US
Mailing Address - Phone:717-431-0767
Mailing Address - Fax:
Practice Address - Street 1:520 UNION ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-2210
Practice Address - Country:US
Practice Address - Phone:717-431-0767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance