Hazleton Community Ambulance Association, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03155 Issued in PA

Legal business name

HAZLETON COMMUNITY AMBULANCE ASSOCIATION, INC.

Practice address

465 E Chestnut St
Hazleton, PA 18201-6711

Phone

(570) 455-5902

NPI assigned

Jul 19, 2006

Last updated

Aug 22, 2020By 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

Raymond G Whitenight

Title

Treasurer

Phone

(570) 455-5902

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093734212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 E CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016711",
            "telephone_number": "570-455-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 E CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016711",
            "telephone_number": "570-455-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETON COMMUNITY AMBULANCE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITENIGHT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-455-5902"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011580100001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "281189",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "153651XX",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NEPA",
            "identifier": "998531",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazleton Ambulatory Surgical Center LLC
• Hazleton Ambulette Services Inc.
• Hazleton Anesthesia Services, P.C.
• Hazleton Area School District
• Hazleton Children's Medical Associates
• Hazleton General Hospital Occupational Health
• Hazleton Health & Wellness Center
• Hazleton Medical Practice LLC
• Hazleton Oxygen Medical Equipment Inc.
• Hazleton Pathology PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.