Provider Demographics
NPI:1760517783
Name:MYERSTOWN FIRST AID UNIT
Entity Type:Organization
Organization Name:MYERSTOWN FIRST AID UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-866-5111
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-0726
Mailing Address - Country:US
Mailing Address - Phone:717-724-4136
Mailing Address - Fax:717-635-6176
Practice Address - Street 1:11 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-1150
Practice Address - Country:US
Practice Address - Phone:717-866-5111
Practice Address - Fax:717-376-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06083341600000X
06083341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20030718OtherAMERIHEALTH MERCY
PA220120300OtherUS DEPT OF LABOR
PA590925807OtherRR MEDICARE
PA0007691380001Medicaid
PA285673OtherHIGHMARK BLUE SHIELD
PA50002940OtherCAPITAL BLUE CROSS
PA1523536OtherGATEWAY