Organization Active NPI

Wellsboro Firemens Ambulance Association Inc

  • Land Ambulance
  • Wellsboro, PA
National Provider Identifier
1003856857
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WELLSBORO FIREMENS AMBULANCE ASSOCIATION INC
Practice address
21 Crafton St
Wellsboro, PA 16901-1519
Phone
(570) 724-9167
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Devion Lehman
Title
President
Phone
(570) 724-9165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

21 Crafton St
Wellsboro, PA 16901-1519

Mailing address

21 Crafton St
Wellsboro, PA 16901-1519
Phone (570) 724-9165

Other identifiers 1

IdentifierTypeStateIssuer
1017574100001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000369 PA Part B Supplier - Ambulance Service Supplier 6103839402 Practice locations: Wellsboro, PA; Nelson, PA

National Provider Directory

National Provider Directory

Locations

21 Crafton St
Wellsboro, PA 16901
Phone (570) 724-9165

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1003856857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CRAFTON ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011519",
            "telephone_number": "570-724-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CRAFTON ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011519",
            "telephone_number": "570-724-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSBORO FIREMENS AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "DEVION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-724-9165"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017574100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.