Provider Demographics
NPI:1023735735
Name:EMERGENT MENDING SERVICES
Entity type:Organization
Organization Name:EMERGENT MENDING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:DWIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-483-2169
Mailing Address - Street 1:9528 LINCOLN HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-3764
Mailing Address - Country:US
Mailing Address - Phone:814-310-5409
Mailing Address - Fax:814-310-5410
Practice Address - Street 1:9528 LINCOLN HWY STE 1
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-3764
Practice Address - Country:US
Practice Address - Phone:814-310-5409
Practice Address - Fax:814-310-5410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty