Provider Demographics
NPI:1386341030
Name:CENTRE PENN EMS
Entity type:Organization
Organization Name:CENTRE PENN EMS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:AUNGST
Authorized Official - Suffix:
Authorized Official - Credentials:EMTP
Authorized Official - Phone:570-442-1174
Mailing Address - Street 1:593 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:PA
Mailing Address - Zip Code:16841-3503
Mailing Address - Country:US
Mailing Address - Phone:814-271-0999
Mailing Address - Fax:
Practice Address - Street 1:230 11TH ST
Practice Address - Street 2:
Practice Address - City:RENOVO
Practice Address - State:PA
Practice Address - Zip Code:17764-1121
Practice Address - Country:US
Practice Address - Phone:814-271-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL PENNSYLVANIA EMERGENCY MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-13
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport