Active NPI
Dayton Area Amb Service
- Basic Emergency Medical Technician
- Dayton, PA
National Provider Identifier
1114900156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 02186
- Legal business name
- DAYTON AREA AMB SERVICE
- Practice address
- 212 S State St
Dayton, PA 16222-5822 - Phone
- (814) 257-9911
- Fax
- (814) 257-9911
- NPI assigned
- Nov 23, 2005
- Last updated
- Sep 11, 2025
- 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
- Jonathan L Stockdale
- Title
- Manager
- Phone
- (814) 257-9911
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 02186 | PA | |
| Basic Emergency Medical Technician | 146N00000X | 02186 | PA | Primary |
Addresses
Primary practice location
212 S State St
Dayton, PA 16222-5822
Mailing address
212 S State St
Dayton, PA 16222-5822
Phone (814) 257-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009117650004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1114900156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 S STATE ST",
"city": "DAYTON",
"state": "PA",
"postal_code": "162225822",
"telephone_number": "814-257-9911",
"fax_number": "814-257-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S STATE ST",
"city": "DAYTON",
"state": "PA",
"postal_code": "162225822",
"telephone_number": "814-257-9911",
"fax_number": "814-257-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON AREA AMB SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "STOCKDALE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "814-257-9911"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "PA",
"license": "02186",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "02186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009117650004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.