Provider Demographics
NPI:1962482943
Name:CARNEGIE EMS, INC
Entity Type:Organization
Organization Name:CARNEGIE EMS, INC
Other - Org Name:CARNEGIE VOLUNTEER FIRE AND RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR AND CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDRACS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-276-4355
Mailing Address - Street 1:201 W MAIN ST
Mailing Address - Street 2:PO BOX 426
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2621
Mailing Address - Country:US
Mailing Address - Phone:412-276-4355
Mailing Address - Fax:412-276-4803
Practice Address - Street 1:201 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2621
Practice Address - Country:US
Practice Address - Phone:412-276-4355
Practice Address - Fax:412-276-4803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARNEGIE VOLUNTEER FIRE AND RESCUE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-18
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA051073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012560570004Medicaid
PA590011348OtherRRMC
PA263968Medicare Oscar/Certification