Provider Demographics
NPI:1902092653
Name:MT. OLIVER AMBULANCE SERVICE
Entity type:Organization
Organization Name:MT. OLIVER AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTORNEY AT LAW
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:PERICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-391-9331
Mailing Address - Street 1:150 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-2165
Mailing Address - Country:US
Mailing Address - Phone:412-431-8107
Mailing Address - Fax:412-431-0874
Practice Address - Street 1:150 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-2165
Practice Address - Country:US
Practice Address - Phone:412-431-8107
Practice Address - Fax:412-431-0874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance