Active NPI
Central Juniata Emergency Medical Service
- Ambulance
- Mifflintown, PA
National Provider Identifier
1013940139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CENTRAL JUNIATA EMERGENCY MEDICAL SERVICE
- Practice address
- 47 Cjems LN
HC 63 - Box 133
Mifflintown, PA 17059-8384 - Phone
- (717) 436-5527
- NPI assigned
- Jul 9, 2006
- Last updated
- Oct 22, 2012
- 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
- Martha J Shirk
- Title
- Treasuer
- Phone
- (717) 436-5527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
47 Cjems LN
HC 63 - Box 133
Mifflintown, PA 17059-8384
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007732570004 | Medicaid | PA |
Other names 1
- Central Juniata EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081119000229 | PA | Part B Supplier - Ambulance Service Supplier | 6002976172 | Practice locations: Mifflintown, PA |
National Provider Directory
National Provider DirectoryLocations
47 Cjems Ln
Mifflintown, PA 17059
Phone (717) 436-5527
47 Cjems Ln
#63
Mifflintown, PA 17059
Phone (717) 436-5527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350864000000",
"number": "1013940139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "484-664-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 CJEMS LN",
"address_2": "HC 63 - BOX 133",
"city": "MIFFLINTOWN",
"state": "PA",
"postal_code": "170598384",
"telephone_number": "717-436-5527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL JUNIATA EMERGENCY MEDICAL SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2012-10-22",
"status": "A",
"authorized_official_last_name": "SHIRK",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "TREASUER",
"authorized_official_telephone_number": "717-436-5527"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007732570004",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Juniata EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mifflintown, PA
- Brookline at Mifflintown Inc (Brookline Healthcare and Rehabilitation Center)
- Brookline Manor Rehabilitation and Healthcare LLC
- Traci Marie Brubaker, MPT
- Kiley Dayne Bubb
- Christina Marie Campagna, MSW, LSW
- Margaret Cooper, LPC
- Mark Anthony Debenedetto, DC
- Matthew Debenedetto, DC
- Tami Joelle Debenedetto, DC
- Mandeep Dhilon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.