Provider Demographics
NPI:1790763761
Name:RESCUE 14 EMS INC
Entity Type:Organization
Organization Name:RESCUE 14 EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-523-5609
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:ADAMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15611-0175
Mailing Address - Country:US
Mailing Address - Phone:724-523-5609
Mailing Address - Fax:724-527-2755
Practice Address - Street 1:29 EDNA RD
Practice Address - Street 2:
Practice Address - City:ADAMSBURG
Practice Address - State:PA
Practice Address - Zip Code:15611-9728
Practice Address - Country:US
Practice Address - Phone:724-523-5609
Practice Address - Fax:724-527-2755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA021253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA590002419OtherRR MEDICARE/PALMETTO GBA
PA204800OtherBLUE CROSS/BLUE SHIELD
PA0009924690001Medicaid
PA1009622OtherGATEWAY HEALTH PLAN
PA103537OtherUPMC HEALTH PLAN
PA333385OtherHEALTH AMERICA
PA333385OtherHEALTH AMERICA
PA0009924690001Medicaid