Provider Demographics
NPI:1548287030
Name:FAME EMERGENCY MEDICAL SERVICES INC
Entity type:Organization
Organization Name:FAME EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-248-5553
Mailing Address - Street 1:701 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1426
Mailing Address - Country:US
Mailing Address - Phone:717-248-5553
Mailing Address - Fax:
Practice Address - Street 1:701 VALLEY ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1426
Practice Address - Country:US
Practice Address - Phone:717-248-5553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033583416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXMTE06605Medicaid
PA0072456870002Medicaid
PA3754OtherHEALTH ASSURANCE
PA111182OtherHEALTH PARTNERS
PA3754OtherHEALTH ASSURANCE
CAXMTE06605Medicaid