Provider Demographics
NPI:1912998758
Name:SPRINGFIELD TOWNSHIP AMBULANCE ASSOCIATION
Entity Type:Organization
Organization Name:SPRINGFIELD TOWNSHIP AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-264-7858
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:800-473-2278
Mailing Address - Fax:
Practice Address - Street 1:1510 PAPER MILL RD
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-7032
Practice Address - Country:US
Practice Address - Phone:215-233-1812
Practice Address - Fax:215-233-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA050273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
0049096000OtherKEYSTONE W SECURITY
PA0016357290005Medicaid
PA284725OtherINDEPENDENCE BCBS OF PA
07994OtherHEALTH PARTNERS HMO DPA
07994OtherSENIOR PARTNERS HMO MDC
PA284725OtherBCBS OF PA BLUE SHIELD
60692OtherKEYSTONE MERCY HMO DPA
PA284725OtherBCBS OF PA BLUE SHIELD