Provider Demographics
NPI:1669615217
Name:ORBISONIA-ROCKHILL EMERGENCY MEDICAL SERVICE
Entity type:Organization
Organization Name:ORBISONIA-ROCKHILL EMERGENCY MEDICAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCKENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-447-9000
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:ORBISONIA
Mailing Address - State:PA
Mailing Address - Zip Code:17243-0335
Mailing Address - Country:US
Mailing Address - Phone:814-447-9000
Mailing Address - Fax:
Practice Address - Street 1:110 VALLEY STREET
Practice Address - Street 2:
Practice Address - City:ROCKHILL FURNACE
Practice Address - State:PA
Practice Address - Zip Code:17249
Practice Address - Country:US
Practice Address - Phone:814-447-3221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA042873416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1023195750002Medicaid
PA155850Medicare PIN