Provider Demographics
NPI:1528759396
Name:COMMONWEALTH EMERGENCY CRISIS RESPONSE, INC.
Entity type:Organization
Organization Name:COMMONWEALTH EMERGENCY CRISIS RESPONSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:IVERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:484-467-2241
Mailing Address - Street 1:91 NEWPORT RD STE 205
Mailing Address - Street 2:
Mailing Address - City:GAP
Mailing Address - State:PA
Mailing Address - Zip Code:17527-9579
Mailing Address - Country:US
Mailing Address - Phone:484-467-2241
Mailing Address - Fax:
Practice Address - Street 1:91 NEWPORT RD STE 205
Practice Address - Street 2:
Practice Address - City:GAP
Practice Address - State:PA
Practice Address - Zip Code:17527-9579
Practice Address - Country:US
Practice Address - Phone:484-467-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance