Provider Demographics
NPI:1013940139
Name:CENTRAL JUNIATA EMERGENCY MEDICAL SERVICE
Entity Type:Organization
Organization Name:CENTRAL JUNIATA EMERGENCY MEDICAL SERVICE
Other - Org Name:CENTRAL JUNIATA EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:TREASUER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-436-5527
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 1:47 CJEMS LN
Practice Address - Street 2:HC 63 - BOX 133
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-8384
Practice Address - Country:US
Practice Address - Phone:717-436-5527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007732570004Medicaid
PA237833Medicare PIN