Medic 9 Paramedic Service, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MEDIC 9 PARAMEDIC SERVICE, INC.

Practice address

311 Blue Valley Dr
Bangor, PA 18013-1528

Phone

(610) 588-9816

Fax

(610) 588-9818

NPI assigned

Jul 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald Alan Dereamus

Title

EMS Coordinator

Phone

(610) 588-9816

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104825991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131528",
            "telephone_number": "610-588-9816",
            "fax_number": "610-588-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131528",
            "telephone_number": "610-588-9816",
            "fax_number": "610-588-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC 9 PARAMEDIC SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DEREAMUS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "610-588-9816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02275",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011898940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Bangor, PA
• Providers in Bangor, PA by specialty
• Non-emergency Medical Transport (VAN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.