Juniata Valley Ambulance Service Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04079 Issued in PA

Legal business name

JUNIATA VALLEY AMBULANCE SERVICE ASSOCIATION

Practice address

7571 Bridge St
Alexandria, PA 16611-2718

Phone

(814) 669-9539

Fax

(814) 669-4880

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Ben Gordon

Title

President

Phone

(814) 669-9539

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1093713877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 BRIDGE ST",
            "city": "ALEXANDRIA",
            "state": "PA",
            "postal_code": "166112718",
            "telephone_number": "814-669-9539",
            "fax_number": "814-669-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIATA VALLEY AMBULANCE SERVICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-669-9539"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002725",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broad Top Area Medical Center Inc (Juniata Valley BTAMC Clinic)
• Huntingdon Healthcare, Inc (Juniata Valley Medical Center)
• Juniata Valley School District
• Morgan Alyssa Myers, MSW, LSW
• Mark Allen Ritter, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.