Shermans Dale Ambulance Associates

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03254 Issued in PA

Legal business name

SHERMANS DALE AMBULANCE ASSOCIATES

Practice address

260 Richwine Rd
Shermansdale, PA 17090

Phone

(717) 582-2732

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Darryl Croutharmel

Title

President

Phone

(717) 582-2732

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1073651972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 RICHWINE RD",
            "city": "SHERMANSDALE",
            "state": "PA",
            "postal_code": "17090",
            "telephone_number": "717-582-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RICHWINE RD",
            "city": "SHERMANSDALE",
            "state": "PA",
            "postal_code": "17090",
            "telephone_number": "717-582-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMANS DALE AMBULANCE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "CROUTHARMEL",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-582-2732"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019398870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Rene Miller, RN
• Don N Nham, RPH
• NHS Stevens Center
• Perry Physicians, P.C.
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 04286)
• Parth Upendra Tejani
• Betty Toms, BSC, PHARM.D
• Lori Carol Trostle, M.D.
• Jessica Danielle Wilson, COTA/L
• Brenda Gail Wise, LPC

• Land Ambulance in Shermans Dale, PA
• Providers in Shermans Dale, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.