Provider Demographics
NPI:1760458806
Name:UPPER ST. CLAIR TOWNSHIP
Entity Type:Organization
Organization Name:UPPER ST. CLAIR TOWNSHIP
Other - Org Name:TRI-COMMUNITY SOUTH EMS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PUNGITORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-831-3710
Mailing Address - Street 1:5490 PROGRESS BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2500
Mailing Address - Country:US
Mailing Address - Phone:412-831-3710
Mailing Address - Fax:412-831-3038
Practice Address - Street 1:5490 PROGRESS BLVD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2500
Practice Address - Country:US
Practice Address - Phone:412-831-3710
Practice Address - Fax:412-831-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02204341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance