Provider Demographics
NPI:1861480949
Name:PLAINS VOLUNTEER AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:PLAINS VOLUNTEER AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZABRISKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-822-9279
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:484-664-2007
Mailing Address - Fax:
Practice Address - Street 1:90 MAFFETT ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1933
Practice Address - Country:US
Practice Address - Phone:570-822-9279
Practice Address - Fax:570-223-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033663416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590004230OtherUNITED HC RR MEDICARE
PA3384OtherPHS HEALTH PLAN COMMERCIA
118002600OtherDEPT OF LABOR WORK COMP
0603710OtherAETNA USHC BLUE BELL HMO
51687OtherGHP
1063900OtherKEYSTONE MERCY HMO DPA
PA0012187710002Medicaid
089529300OtherFEDERAL BLACK LUNG
801060OtherFIRST PRIORITY HEALTH
895293OtherUMWA HEALTH AND RET FUNDS
201642OtherBCBS OF PA BLUE SHIELD
PA3384OtherACS HEALTH NET HMO MDC
PA3384OtherQUALMED
PA3384OtherACS HEALTH NET COMMERCIAL
801060OtherFIRST PRIORITY HEALTH