Provider Demographics
NPI:1740404300
Name:SALISBURY AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:SALISBURY AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-662-2831
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:PA
Mailing Address - Zip Code:15558-0152
Mailing Address - Country:US
Mailing Address - Phone:814-662-2831
Mailing Address - Fax:814-662-2831
Practice Address - Street 1:385 ORD ST.
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:PA
Practice Address - Zip Code:15558-0152
Practice Address - Country:US
Practice Address - Phone:814-662-2831
Practice Address - Fax:814-662-2831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA051363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000979467Medicaid
PA288416OtherPBS
PA288416OtherPBS