Provider Demographics
NPI:1255336152
Name:NORVELT EMERGENCY MEDICAL SERVICE
Entity type:Organization
Organization Name:NORVELT EMERGENCY MEDICAL SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:JANOS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:724-423-7044
Mailing Address - Street 1:PO BOX 195
Mailing Address - Street 2:
Mailing Address - City:NORVELT
Mailing Address - State:PA
Mailing Address - Zip Code:15674-0195
Mailing Address - Country:US
Mailing Address - Phone:724-423-7044
Mailing Address - Fax:724-423-1220
Practice Address - Street 1:2265 MT. PLEASANT RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666
Practice Address - Country:US
Practice Address - Phone:724-423-7044
Practice Address - Fax:724-423-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA982693416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA18844OtherHEALTH AMERICA
PA590010375OtherUMWA
PA200397OtherBLUE CROSS/BLUE SHIELD
PA590010375OtherRR MEDICARE
PA0010151420002Medicaid
PA590010375OtherUMWA
PA=========OtherTRICARE