Provider Demographics
NPI:1336612415
Name:LANDISBURG EMS INC
Entity Type:Organization
Organization Name:LANDISBURG EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-789-3080
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:LANDISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17040-0122
Mailing Address - Country:US
Mailing Address - Phone:717-789-3080
Mailing Address - Fax:
Practice Address - Street 1:301 FACULTY AVE
Practice Address - Street 2:
Practice Address - City:LANDISBURG
Practice Address - State:PA
Practice Address - Zip Code:17040-0122
Practice Address - Country:US
Practice Address - Phone:717-789-3080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport