Provider Demographics
NPI:1861488934
Name:HAMBURG EMERGENCY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:HAMBURG EMERGENCY MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KIEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:484-818-1732
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-0024
Mailing Address - Country:US
Mailing Address - Phone:610-286-5076
Mailing Address - Fax:610-286-5079
Practice Address - Street 1:564 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1116
Practice Address - Country:US
Practice Address - Phone:610-562-5562
Practice Address - Fax:610-562-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033983416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016144060001Medicaid
30013907OtherKEYSTONE MERCY HMO DPA
50002980OtherCAPITAL BLUE CROSS BASIC
1015359OtherAMERIHEALTH MERCY HMO DPA
PA280260OtherBCBS
0005874OtherAETNA USHC BLUE BELL HMO
50002980OtherCAPITAL BLUE CROSS BASIC
280260Medicare ID - Type UnspecifiedHGSA