Active NPI
DH&L Ambulance League
- Land Ambulance
- Selinsgrove, PA
National Provider Identifier
1114080892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DH&L AMBULANCE LEAGUE
- Practice address
- 713 Bridge St
Ste 14
Selinsgrove, PA 17870-1250 - Phone
- (570) 374-0444
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Michaels
- Title
- President
- Phone
- (570) 374-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
713 Bridge St
Ste 14
Selinsgrove, PA 17870-1250
Mailing address
PO Box 424
Selinsgrove, PA 17870-0424
Phone (570) 374-0444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335649 | Other | PA | HEALTH AMERICA |
| 5003008 | Other | PA | CAPITAL BLUE CROSS |
| 0007643000006 | Medicaid | PA | |
| 1508535 | Other | PA | GATEWAY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000176 | PA | Part B Supplier - Ambulance Service Supplier | 7315837887 | Practice locations: Selinsgrove, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2002667 | DH&L Ambulance League | Certificate of waiver | Jan 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
713 Bridge St
Ste 13
Selinsgrove, PA 17870
Phone (570) 374-0444
713 Bridge St
Ste 14
Selinsgrove, PA 17870
Phone (570) 374-0444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304899200000",
"number": "1114080892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178700424",
"telephone_number": "570-374-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 BRIDGE ST",
"address_2": "STE 14",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178701250",
"telephone_number": "570-374-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DH&L AMBULANCE LEAGUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2011-05-09",
"status": "A",
"authorized_official_last_name": "MICHAELS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-374-0444"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "335649",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "5003008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007643000006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1508535",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selinsgrove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.