West Pittston Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04271 Issued in PA

Legal business name

WEST PITTSTON COMMUNITY AMBULANCE ASSOCIATION

Practice address

401 Tunkhannock Ave
West Pittston, PA 18643-1223

Phone

(570) 654-2747

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Jane Firestine

Title

Treasurer

Phone

(570) 655-9122

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1093880262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187080846",
            "telephone_number": "570-714-3694",
            "fax_number": "570-714-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TUNKHANNOCK AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186431223",
            "telephone_number": "570-654-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PITTSTON COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "FIRESTINE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-655-9122"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "800358",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015399380003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R Sperrazza
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• Vision Innovation Centers of Pennsylvania LLC
• Jodi Jean Weiskerger, LSW
• Ellen M Yanik

• All providers in West Pittston, PA
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.