Provider Demographics
NPI:1487722252
Name:FOREST HILLS AREA AMBULANCE ASSOCIATION
Entity type:Organization
Organization Name:FOREST HILLS AREA AMBULANCE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-495-5107
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:008-240-6365
Mailing Address - Fax:724-234-4703
Practice Address - Street 1:140 WATER AVE
Practice Address - Street 2:
Practice Address - City:ST. MICHAEL
Practice Address - State:PA
Practice Address - Zip Code:15951-0461
Practice Address - Country:US
Practice Address - Phone:814-495-5107
Practice Address - Fax:724-234-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05202341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007628430002Medicaid