Provider Demographics
NPI:1467449884
Name:EASTERN SALISBURY FIRE AMBULANCE & RESCUE COMPANY
Entity type:Organization
Organization Name:EASTERN SALISBURY FIRE AMBULANCE & RESCUE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE CHIEF
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-797-5227
Mailing Address - Street 1:200 READING AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1140
Mailing Address - Country:US
Mailing Address - Phone:610-376-2007
Mailing Address - Fax:610-376-2488
Practice Address - Street 1:1000 E EMMAUS AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-5928
Practice Address - Country:US
Practice Address - Phone:610-797-5227
Practice Address - Fax:610-797-5289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
1028802OtherAMERIHEALTH MERCY HMO DPA
PA0012510970004Medicaid
1028802OtherKEYSTONE MERCY HMO DPA
50003387OtherCAPITAL BLUE CROSS BASIC
0099877OtherAETNA USHC BLUE BELL HMO
590007602OtherUNITED HC RR MEDICARE
214043OtherBC BS OF PA BLUE SHIELD
214043OtherBC BS OF PA BLUE SHIELD
590007602OtherUNITED HC RR MEDICARE
0099877OtherAETNA USHC BLUE BELL HMO