Provider Demographics
NPI:1821277609
Name:SPECIAL EVENT EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:SPECIAL EVENT EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUBLITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-218-3018
Mailing Address - Street 1:1475 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-1614
Mailing Address - Country:US
Mailing Address - Phone:717-218-3018
Mailing Address - Fax:717-218-3017
Practice Address - Street 1:1475 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-1614
Practice Address - Country:US
Practice Address - Phone:717-218-3018
Practice Address - Fax:717-218-3017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA061083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA118559Medicare PIN