NPIMap

Organization Active NPI

Wysox Volunteer Emergency Medical Service Ambulance Inc

  • Land Ambulance
  • Wysox, PA
National Provider Identifier
1063437846
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WYSOX VOLUNTEER EMERGENCY MEDICAL SERVICE AMBULANCE INC
Practice address
22537 Route 187
Wysox, PA 18854-7742
Phone
(570) 265-9788
Fax
(570) 265-3447
NPI assigned
Jul 13, 2006
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Gary L Parks
Title
President/Treasurer
Phone
(570) 265-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

22537 Route 187
Wysox, PA 18854-7742

Mailing address

PO Box 302
Wysox, PA 18854-0302
Phone (570) 265-9788

Other identifiers 1

IdentifierTypeStateIssuer
0011597600003MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1063437846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "WYSOX",
            "state": "PA",
            "postal_code": "188540302",
            "telephone_number": "570-265-9788",
            "fax_number": "570-265-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22537 ROUTE 187",
            "city": "WYSOX",
            "state": "PA",
            "postal_code": "188547742",
            "telephone_number": "570-265-9788",
            "fax_number": "570-265-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYSOX VOLUNTEER EMERGENCY MEDICAL SERVICE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "570-265-9788"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011597600003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wysox, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.