Active NPI
Danville Ambulance Service, Incorporated
- Land Ambulance
- Danville, PA
National Provider Identifier
1063574978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DANVILLE AMBULANCE SERVICE, INCORPORATED
- Practice address
- 12 A St
Danville, PA 17821-1602 - Phone
- (570) 275-6025
- NPI assigned
- Dec 15, 2006
- 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
- Scott Lynn
- Title
- Executive Director
- Phone
- (570) 275-6025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
12 A St
Danville, PA 17821-1602
Mailing address
PO Box 175
Danville, PA 17821-0175
Phone (570) 275-6025
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009418800001 | Medicaid | PA | |
| 148859FY | Other | PA | PREFERRED CARE |
| 602785000 | Other | PA | US DEPT. OF LABOR |
| 335455 | Other | PA | HEALTH AMERICA |
| 086106600 | Other | PA | FEDERAL BLACK LUNG PROG. |
| 280760 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1063574978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178210175",
"telephone_number": "570-275-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 A ST",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178211602",
"telephone_number": "570-275-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANVILLE AMBULANCE SERVICE, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-275-6025"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009418800001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "148859FY",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR",
"identifier": "602785000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "335455",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG PROG.",
"identifier": "086106600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "280760",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.