NPIMap

Organization Active NPI

Nescopeck Community Ambulance Assoc

  • Land Ambulance
  • Nescopeck, PA
National Provider Identifier
1083636526
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NESCOPECK COMMUNITY AMBULANCE ASSOC
Practice address
99 Warren St.
Nescopeck, PA 18635
Phone
(570) 759-0391
NPI assigned
Jul 24, 2006
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Willis H Hess
Title
President
Phone
(570) 759-0391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

99 Warren St.
Nescopeck, PA 18635

Mailing address

PO Box 526
Nescopeck, PA 18635-0526
Phone (570) 759-0391

Other identifiers 2

IdentifierTypeStateIssuer
0008502300001MedicaidPA
93285OtherPAHEALTH AMERICA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1083636526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "NESCOPECK",
            "state": "PA",
            "postal_code": "186350526",
            "telephone_number": "570-759-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WARREN ST.",
            "city": "NESCOPECK",
            "state": "PA",
            "postal_code": "18635",
            "telephone_number": "570-759-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESCOPECK COMMUNITY AMBULANCE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-759-0391"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008502300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "93285",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nescopeck, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.