NPIMap

Organization Active NPI

Tremont Area Ambulance Association

  • Land Ambulance
  • Tremont, PA
National Provider Identifier
1013998376
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03123 Issued in PA
Legal business name
TREMONT AREA AMBULANCE ASSOCIATION
Practice address
49 North St
Tremont, PA 17981-1526
Phone
(570) 695-2500
Fax
(570) 695-3361
NPI assigned
Nov 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Wally Hodgson
Title
President
Phone
(570) 695-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03123 PA Primary

Addresses

Primary practice location

49 North St
Tremont, PA 17981-1526

Mailing address

PO Box 539
Mechanicsburg, PA 17055-0539
Phone (717) 728-1690

Other identifiers 1

IdentifierTypeStateIssuer
0008713290003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000475 PA Part B Supplier - Ambulance Service Supplier 8729254842 Practice locations: Tremont, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1013998376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170550539",
            "telephone_number": "717-728-1690",
            "fax_number": "717-728-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NORTH ST",
            "city": "TREMONT",
            "state": "PA",
            "postal_code": "179811526",
            "telephone_number": "570-695-2500",
            "fax_number": "570-695-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREMONT AREA AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-12",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "WALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-695-2500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008713290003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.