Provider Demographics
NPI:1720091192
Name:DUNCANNON EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:DUNCANNON EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:NACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-761-5343
Mailing Address - Street 1:16 SHERMANTA DR
Mailing Address - Street 2:
Mailing Address - City:DUNCANNON
Mailing Address - State:PA
Mailing Address - Zip Code:17020-9710
Mailing Address - Country:US
Mailing Address - Phone:717-834-5904
Mailing Address - Fax:
Practice Address - Street 1:16 SHERMANTA DR
Practice Address - Street 2:
Practice Address - City:DUNCANNON
Practice Address - State:PA
Practice Address - Zip Code:17020-9710
Practice Address - Country:US
Practice Address - Phone:717-761-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040983416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011435090002Medicaid
PA284921Medicare UPIN