Provider Demographics
NPI:1992782486
Name:EAST ALLEN TOWNSHIP VOLUNTEER AMBULANCE CORPS
Entity type:Organization
Organization Name:EAST ALLEN TOWNSHIP VOLUNTEER AMBULANCE CORPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:THELORA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-344-1918
Mailing Address - Street 1:1756 ELINOR ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-3806
Mailing Address - Country:US
Mailing Address - Phone:800-344-1918
Mailing Address - Fax:610-691-7576
Practice Address - Street 1:4945 NOR BATH BLVD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-9705
Practice Address - Country:US
Practice Address - Phone:800-344-1918
Practice Address - Fax:610-261-1271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016658620001Medicaid
PA211700Medicare ID - Type Unspecified