Provider Demographics
NPI:1841286911
Name:YARDLEY-MAKEFIELD CONSOLIDATED EMERGENCY UNIT
Entity type:Organization
Organization Name:YARDLEY-MAKEFIELD CONSOLIDATED EMERGENCY UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-493-4222
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:315-635-1789
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:1140 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-1605
Practice Address - Country:US
Practice Address - Phone:215-493-4222
Practice Address - Fax:215-321-7945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032963416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
000281988OtherIBC PERSONAL CHOICE MDC
PA0000169000OtherINDEPENDENCE BCBS
PA281988OtherBLUE SHIELD
PA001138797Medicaid
48023OtherKEYSTONE MERCY HMO DPA
000281988OtherIBC PERSONAL CHOICE MDC