Provider Demographics
NPI:1265566913
Name:WESTERN ALLIANCE EMERGENCY SERVICES INC
Entity type:Organization
Organization Name:WESTERN ALLIANCE EMERGENCY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR-CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-297-1235
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:PA
Mailing Address - Zip Code:16947-0013
Mailing Address - Country:US
Mailing Address - Phone:570-297-1235
Mailing Address - Fax:
Practice Address - Street 1:430 CANTON ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:PA
Practice Address - Zip Code:16947-1444
Practice Address - Country:US
Practice Address - Phone:570-297-1235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017774840001Medicaid
PA603989300OtherUS DEPT OF LABOR
PA998501OtherBLUE CROSS NEPA
NY02099365Medicaid
PA91151OtherSTERLING OPTION 1
PA1445479OtherACCESS CARE II
PA814847OtherFIRST PRIORITY HEALTH
PA1145540OtherKEYSTONE MERCY HEALTH PLA
PA340379OtherHEALTH AMERICA
PA2129327000OtherHEALTH AMERICA
PA030112Medicare PIN
PA1445479OtherACCESS CARE II