Organization Active NPI

Swoyersville Police Community Ambulance Association Inc.

  • Ambulance
  • Swoyersville, PA
National Provider Identifier
1003985920
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04189 Issued in PA
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

Updated by the provider on Apr 26, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0011940430002MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.