Provider Demographics
NPI:1649240250
Name:NORTHEAST EMS
Entity Type:Organization
Organization Name:NORTHEAST EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:NUTTALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-759-8001
Mailing Address - Street 1:299 INDUSTRIAL PARK RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2439
Mailing Address - Country:US
Mailing Address - Phone:610-759-8001
Mailing Address - Fax:610-759-9435
Practice Address - Street 1:299 INDUSTRIAL PARK RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2439
Practice Address - Country:US
Practice Address - Phone:610-759-8001
Practice Address - Fax:610-759-9435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport