Provider Demographics
NPI:1538240726
Name:RICHLAND EMS, INC.
Entity type:Organization
Organization Name:RICHLAND EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-443-3030
Mailing Address - Street 1:PO BOX 925
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-0925
Mailing Address - Country:US
Mailing Address - Phone:724-443-3030
Mailing Address - Fax:724-443-2112
Practice Address - Street 1:4009 DICKEY RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9713
Practice Address - Country:US
Practice Address - Phone:724-443-3030
Practice Address - Fax:724-443-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009507720005Medicaid
PA25126OtherHEALTH AMERICA MEDICARE
PA25169OtherGATEWAY HEALTH PLAN (MEDICAID)
PA23281OtherUPMC
PA203374OtherHIGHMARK BLUE SHIELD
PA203374OtherHUMANA GOLD CHOICE
PA52180OtherUMWA HEALTH AND WELFARE
PA60550OtherGATEWAY MEDICARE ADVANTAGE
PA23281OtherUPMC
PA203374Medicare PIN