Provider Demographics
NPI:1366135634
Name:CENTRAL PA MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:CENTRAL PA MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTRY-COLYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-719-2902
Mailing Address - Street 1:2159 WHITE ST
Mailing Address - Street 2:STE3, PMB 316
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404
Mailing Address - Country:US
Mailing Address - Phone:717-719-2902
Mailing Address - Fax:172-566-8647
Practice Address - Street 1:4040 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-3508
Practice Address - Country:US
Practice Address - Phone:717-719-2902
Practice Address - Fax:717-256-6864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport