Provider Demographics
NPI:1316910730
Name:TRAFFORD EMERGENCY MEDICAL SERVICE COMPANY NO 1
Entity type:Organization
Organization Name:TRAFFORD EMERGENCY MEDICAL SERVICE COMPANY NO 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:LINDBLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-491-1153
Mailing Address - Street 1:PO BOX 18533
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0533
Mailing Address - Country:US
Mailing Address - Phone:800-240-6365
Mailing Address - Fax:724-234-4703
Practice Address - Street 1:412 BRINTON AVE
Practice Address - Street 2:
Practice Address - City:TRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:15085-1036
Practice Address - Country:US
Practice Address - Phone:412-856-2286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA650323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
204619OtherBC BS OF PA BLUE SHIELD
590009448OtherUNITED HC RR MEDICARE
0182373OtherAETNA USHC BLUE BELL HMO
209214OtherUPMC HEALTH PLAN COMMERCI
1538717OtherUMWA HEALTH AND RETIREMEN
PA0015027500004Medicaid
209214OtherUPMC HEALTH PLAN COMMERCI