Greater Valley Emergency Medical Services Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03280 Issued in PA

Legal business name

GREATER VALLEY EMERGENCY MEDICAL SERVICES INC.

Practice address

904 N Lehigh Ave
Sayre, PA 18840-1842

Phone

(570) 888-6000

Fax

(570) 888-1219

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Derrick P. Hall

Title

Deputy Chief

Phone

(570) 888-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1083619126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N LEHIGH AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401842",
            "telephone_number": "570-888-6000",
            "fax_number": "570-888-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER VALLEY EMERGENCY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "570-888-6000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012534020002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01271609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Gore, CRNP
• Michael D. Gorsline, PAC
• Matthew William Gorton
• Andrew Gould, CRNA
• Rachel Marie Grant, DO
• Jonathan Martin Green, PAC
• Candi F Greene
• Maegan Greene, RBT
• Paul James Grego
• Erik M. Gregorie, MD

• Land Ambulance in Sayre, PA
• Providers in Sayre, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.