Organization Active NPI

Shippensburg Area Emergency Medical Services Inc

  • Land Ambulance
  • Shippensburg, PA
National Provider Identifier
1124095922
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04168 Issued in PA
Legal business name
SHIPPENSBURG AREA EMERGENCY MEDICAL SERVICES INC
Practice address
711 E Orange St
Shippensburg, PA 17257-2145
Phone
(717) 920-8460
Fax
(717) 901-5731
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Joseph E Jones
Title
President
Phone
(717) 532-6069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04168 PA Primary

Addresses

Primary practice location

711 E Orange St
Shippensburg, PA 17257-2145

Mailing address

711 E Orange St
Shippensburg, PA 17257-2145
Phone (717) 920-8460

Other identifiers 3

IdentifierTypeStateIssuer
282236OtherPAHIGHMARK BLUE SHIELD
590015155OtherPARAILROAD MEDICARE
0019400000003MedicaidPA

Other names 1

  • Cumberland Valley EMS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000544 PA Part B Supplier - Ambulance Service Supplier 4880790302 Practice locations: Shippensburg, PA

National Provider Directory

National Provider Directory

Locations

235 E King St
#69
Shippensburg, PA 17257
Phone (717) 532-6069

711 E Orange St
Shippensburg, PA 17257
Phone (717) 532-6069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1124095922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E ORANGE ST",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172572145",
            "telephone_number": "717-920-8460",
            "fax_number": "717-901-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ORANGE ST",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172572145",
            "telephone_number": "717-920-8460",
            "fax_number": "717-901-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPPENSBURG AREA EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-532-6069"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "282236",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015155",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019400000003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Valley EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.