Active NPI
Valley Community Ambulance Association
- Land Ambulance
- Osceola, PA
National Provider Identifier
1154376689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VALLEY COMMUNITY AMBULANCE ASSOCIATION
- Practice address
- 7125 State Route 49
Osceola, PA 16942 - Phone
- (814) 258-7800
- NPI assigned
- May 23, 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
- Robert D Gee III
- Title
- Chief
- Phone
- (814) 258-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
7125 State Route 49
Osceola, PA 16942
Mailing address
PO Box 280
Osceola, PA 16942-0280
Phone (814) 258-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013921930003 | Medicaid | PA | |
| 46180 | Other | PA | GEISINGER HEALTH PLAN |
| 221987 | Other | HEALTH AMERICA/ASSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060531000182 | PA | Part B Supplier - Ambulance Service Supplier | 0840201067 | Practice locations: Osceola, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357257600000",
"number": "1154376689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "OSCEOLA",
"state": "PA",
"postal_code": "169420280",
"telephone_number": "814-258-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 STATE ROUTE 49",
"city": "OSCEOLA",
"state": "PA",
"postal_code": "16942",
"telephone_number": "814-258-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY COMMUNITY AMBULANCE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2013-01-04",
"status": "A",
"authorized_official_last_name": "GEE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "814-258-7800",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013921930003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "46180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/ASSURANCE",
"identifier": "221987",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Osceola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.