Provider Demographics
NPI:1811928229
Name:KARTHAUS AMBULANCE SERVICE
Entity type:Organization
Organization Name:KARTHAUS AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-263-7390
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KARTHAUS
Mailing Address - State:PA
Mailing Address - Zip Code:16845-0009
Mailing Address - Country:US
Mailing Address - Phone:814-263-7390
Mailing Address - Fax:814-263-7398
Practice Address - Street 1:3602 MAIN ST.
Practice Address - Street 2:
Practice Address - City:KARTHAUS
Practice Address - State:PA
Practice Address - Zip Code:16845-0009
Practice Address - Country:US
Practice Address - Phone:814-263-7390
Practice Address - Fax:814-263-7398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
801776OtherBLACK LUNG
PA0012728830001Medicaid
PA0012728830001Medicaid