Provider Demographics
NPI:1376635292
Name:UPPER BUCKS REGIONAL EMERGENCY MEDICAL SERVICES INC
Entity type:Organization
Organization Name:UPPER BUCKS REGIONAL EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:V
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-847-2165
Mailing Address - Street 1:PO BOX 105
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:PA
Mailing Address - Zip Code:18953-0105
Mailing Address - Country:US
Mailing Address - Phone:610-847-2165
Mailing Address - Fax:610-847-2980
Practice Address - Street 1:8716 EASTON ROAD
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:PA
Practice Address - Zip Code:18953-0105
Practice Address - Country:US
Practice Address - Phone:610-847-2165
Practice Address - Fax:610-847-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09015146L00000X
PA031663416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA281196Medicare ID - Type Unspecified