Provider Demographics
NPI:1194713859
Name:SWATARA EMS, INC.
Entity type:Organization
Organization Name:SWATARA EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER / OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-985-9461
Mailing Address - Street 1:1263 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17113-1122
Mailing Address - Country:US
Mailing Address - Phone:717-985-9461
Mailing Address - Fax:717-985-9471
Practice Address - Street 1:1263 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:PA
Practice Address - Zip Code:17113-1122
Practice Address - Country:US
Practice Address - Phone:717-985-9461
Practice Address - Fax:717-985-9471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00190161OtherRAILROAD MEDICARE
PA1540563OtherGATEWAY
PA1014886350001Medicaid
PA1671717OtherHIGHMARK
PA1540563OtherGATEWAY