Avoca Ambulance Association Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04267 Issued in PA

Legal business name

AVOCA AMBULANCE ASSOCIATION INC.

Practice address

740 Main St
Avoca, PA 18641-1623

Phone

(570) 457-1245

Fax

(570) 451-2906

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen Velehoski

Title

President

Phone

(570) 718-6980

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013937465",
    "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": "740 MAIN ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411623",
            "telephone_number": "570-457-1245",
            "fax_number": "570-451-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOCA AMBULANCE ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELEHOSKI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-718-6980"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009507810004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF NEPA MAJOR MEDICAL",
            "identifier": "998543",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "080628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Avoca, PA
• Providers in Avoca, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.