Active NPI
Swoyersville Police Community Ambulance Association Inc.
- Ambulance
- Swoyersville, PA
National Provider Identifier
1003985920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 04189
- Legal business name
- SWOYERSVILLE POLICE COMMUNITY AMBULANCE ASSOCIATION INC.
- Practice address
- 253 Owen St
Swoyersville, PA 18704-2207 - Phone
- (570) 287-8360
- Fax
- (570) 718-6503
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward H Connor
- Title
- Treasurer
- Phone
- (570) 760-7320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 04189 | PA | Primary |
Addresses
Primary practice location
253 Owen St
Swoyersville, PA 18704-2207
Mailing address
PO Box 1830
Kingston, PA 18704-0830
Phone (570) 718-6980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011940430002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
253 Owen St
Swoyersville, PA 18704
Phone (570) 287-8360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366934400000",
"number": "1003985920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1830",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040830",
"telephone_number": "570-718-6980",
"fax_number": "570-718-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 OWEN ST",
"city": "SWOYERSVILLE",
"state": "PA",
"postal_code": "187042207",
"telephone_number": "570-287-8360",
"fax_number": "570-718-6503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWOYERSVILLE POLICE COMMUNITY AMBULANCE ASSOCIATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2013-04-26",
"status": "A",
"authorized_official_last_name": "CONNOR",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "570-760-7320"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "04189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011940430002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swoyersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.