Spring Grove Area Ambulance Club

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04014 Issued in PA

Legal business name

SPRING GROVE AREA AMBULANCE CLUB

Practice address

6115 Thoman Dr
Spring Grove, PA 17362-9153

Phone

(717) 739-8330

NPI assigned

Aug 18, 2005

Last updated

Jul 9, 2021By 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

Jacqueline Heffner

Title

EMS Chief

Phone

(717) 739-8330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1043202898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 THOMAN DR",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173629153",
            "telephone_number": "717-739-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6054 Lincoln Hwy W",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "PA",
            "postal_code": "173649702",
            "country_code": "US",
            "telephone_number": "717-739-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRING GROVE AREA AMBULANCE CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "HEFFNER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "717-739-8330"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000873468",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01902)
• Cristian Rafael Rosado, HHA
• Jo Ann Scheu, R.N.
• Deona L Schmittel, SLP
• Barbara Shute, MD
• Spring Grove Area School District
• Spring Grove Family Care Center LLC
• Belinda Strouse, M ED
• Michael Eric Udo, D.C.
• Victoria Hudak CRNP LLC

• Land Ambulance in Spring Grove, PA
• Providers in Spring Grove, 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 9, 2021; 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.