Provider Demographics
NPI:1356335509
Name:CLEARFIELD E.M.S., INC.
Entity type:Organization
Organization Name:CLEARFIELD E.M.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-765-6710
Mailing Address - Street 1:713 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-2975
Mailing Address - Country:US
Mailing Address - Phone:814-765-6710
Mailing Address - Fax:814-765-7134
Practice Address - Street 1:713 W FRONT ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-2975
Practice Address - Country:US
Practice Address - Phone:814-765-6710
Practice Address - Fax:814-765-7134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0433659OtherUNITED MINE WORKERS
PA0012771280003Medicaid
PA0433659OtherUNITED MINE WORKERS