Provider Demographics
NPI:1720088065
Name:LIVERPOOL EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:LIVERPOOL EMERGENCY MEDICAL SERVICES
Other - Org Name:LIVERPOOL AMBULANCE LEAGUE
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-444-7422
Mailing Address - Street 1:PO BOX 258
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:PA
Mailing Address - Zip Code:17045-0258
Mailing Address - Country:US
Mailing Address - Phone:717-444-7422
Mailing Address - Fax:
Practice Address - Street 1:309 N MARKET ST
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:PA
Practice Address - Zip Code:17045
Practice Address - Country:US
Practice Address - Phone:717-444-7422
Practice Address - Fax:717-444-3945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032073416L0300X
PA032063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20041169OtherAMERIHEALTH MERCY ID #
PA0007004840001Medicaid
PA00700484Medicaid
PA281336Medicare ID - Type Unspecified
PA00700484Medicaid
PA281336Medicare UPIN