Provider Demographics
NPI:1255457057
Name:UNIVERSITY AMBULANCE SERVICE
Entity type:Organization
Organization Name:UNIVERSITY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. DIRECTOR OF UHS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NATAHSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMGARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-865-3585
Mailing Address - Street 1:542 EISENHOWER RD
Mailing Address - Street 2:123 STUDENT HEALTH CTR
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:16802-4601
Mailing Address - Country:US
Mailing Address - Phone:814-865-1772
Mailing Address - Fax:814-865-7778
Practice Address - Street 1:542 EISENHOWER RD.
Practice Address - Street 2:109 STUDENT HEALTH CTR
Practice Address - City:UNIVERSITY PARK
Practice Address - State:PA
Practice Address - Zip Code:16802-2129
Practice Address - Country:US
Practice Address - Phone:814-865-1772
Practice Address - Fax:814-865-7778
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENNSYLVANIA STATE UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-22
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA211994Medicare ID - Type Unspecified