PA Paramedics LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

51034 Issued in PA

Legal business name

PA PARAMEDICS LLC

Doing business as

Easterncare Medical Services

Practice address

2731 Hulmeville Rd
Bensalem, PA 19020-4176

Phone

(877) 662-9911

Fax

(877) 662-9911

NPI assigned

Sep 14, 2006

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Damon C Wade, PARAMEDIC

Title

Owner

Phone

(267) 767-3807

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EASTERNCARE MEDICAL SERVICES Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1144325762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SOCIETY HILL DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203689",
            "telephone_number": "877-662-9911",
            "fax_number": "215-331-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HULMEVILLE RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204176",
            "telephone_number": "877-662-9911",
            "fax_number": "877-662-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA PARAMEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-767-3807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "51034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017818370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTERNCARE MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.