Provider Demographics
NPI:1982659827
Name:STEEL VALLEY AMBULANCE, INC.
Entity Type:Organization
Organization Name:STEEL VALLEY AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-292-1960
Mailing Address - Street 1:892 NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-4228
Mailing Address - Country:US
Mailing Address - Phone:002-805-9748
Mailing Address - Fax:724-794-1633
Practice Address - Street 1:325 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1513
Practice Address - Country:US
Practice Address - Phone:412-461-4195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA060143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104271OtherUPMC HEALTH PLAN
PA1019960OtherGATEWAY HEALTH PLAN
PA529708OtherAETNA
PA001508922Medicaid
PA215122OtherHIGHMARK
PA35598OtherHEALTHAMERICA
PA104271OtherUPMC HEALTH PLAN
PA590009591Medicare ID - Type UnspecifiedRAILROAD MEDICARE
PA529708OtherAETNA
PA001508922Medicaid