Provider Demographics
NPI:1013902964
Name:BALDWIN EMERGENCY MEDICAL SERVICE
Entity Type:Organization
Organization Name:BALDWIN EMERGENCY MEDICAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WIEDENHEFT
Authorized Official - Suffix:
Authorized Official - Credentials:P-EMT
Authorized Official - Phone:412-884-0666
Mailing Address - Street 1:1 READSHAW WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2769
Mailing Address - Country:US
Mailing Address - Phone:412-884-0666
Mailing Address - Fax:412-884-5717
Practice Address - Street 1:1 READSHAW WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2769
Practice Address - Country:US
Practice Address - Phone:412-884-0666
Practice Address - Fax:412-884-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA051503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000884710003Medicaid
PA103846OtherUPMC FOR YOU
PA112017801OtherBEST HEALTHCARE
PA1010752OtherGATEWAY
604002200OtherU.S. DEPARTMENT OF LABOR
590005344OtherPALMETTO RR MEDICARE
590005344OtherPALMETTO RR MEDICARE