Mount Morris EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MOUNT MORRIS EMS

Practice address

Main St
American Legion Hall
Mt Morris, PA 15349

Phone

(724) 324-2041

NPI assigned

Sep 23, 2005

Last updated

Sep 28, 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

Mrs. Sharon S Bennett, EMT E026573

Title

President

Phone

(724) 324-5212

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1073509147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN ST",
            "address_2": "AMERICAN LEGION HALL",
            "city": "MT MORRIS",
            "state": "PA",
            "postal_code": "15349",
            "telephone_number": "724-324-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT MORRIS EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-324-5212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT E026573"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA",
            "identifier": "219279",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014463100004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Torrie Kay Headley, LPC
• Matthew Austin Heselton, MD
• Jessica May Marie Hughes
• Sai Venkata Siddhartha Masetti, MD
• R. Gregory Montgomery, DDS
• Michael Thomas Mueller, DO
• Jeffrey Mark Ndove, MD
• Joy Dale Nugent, NP
• Haya Obaji
• Norihito Onishi, D.O.

• Land Ambulance in Mount Morris, PA
• Providers in Mount Morris, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.