Avonmore Lifesavers EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04268 Issued in PA

Legal business name

AVONMORE LIFESAVERS EMS INC

Practice address

323 Westmoreland Ave
Avonmore, PA 15618-0246

Phone

(724) 468-1212

NPI assigned

Oct 11, 2006

Last updated

Jul 23, 2007By 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

Yvonne Brady

Title

Cfo

Phone

(724) 468-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1033208947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "address_2": "P O BOX 14",
            "city": "SLICKVILLE",
            "state": "PA",
            "postal_code": "156840014",
            "telephone_number": "724-468-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WESTMORELAND AVE",
            "city": "AVONMORE",
            "state": "PA",
            "postal_code": "156180246",
            "telephone_number": "724-468-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONMORE LIFESAVERS EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-468-1212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015175860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Bell
• Kathy Geiger
• Harvey Barnard Henteleff, DMD
• Louis D Bottegal, Crna, PC
• Julie Perry

• Land Ambulance in Avonmore, PA
• Providers in Avonmore, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.