Hastings Area Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05170 Issued in PA

Legal business name

HASTINGS AREA AMBULANCE ASSOCIATION

Practice address

222 Fourth Ave.
Hastings, PA 16646

Phone

(814) 247-8885

Fax

(814) 247-9295

NPI assigned

Dec 20, 2005

Last updated

Jun 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Young, EMT-P

Title

Executive Manager

Phone

(814) 247-8885

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1184600355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 FOURTH AVE.",
            "address_2": "P.O. BOX 584",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "16646",
            "telephone_number": "814-247-8885",
            "fax_number": "814-247-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 FOURTH AVE.",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "16646",
            "telephone_number": "814-247-8885",
            "fax_number": "814-247-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS AREA AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "814-247-8885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "11020",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010750240001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis J Fowler, R PH
• Gary a Raymond DPM PC (Advanced Regional Center for Orthopedics & Podiatry)
• Ggnsc Hastings LP (Golden LivingCenter - HAIDA)
• Guardian Elder Care at Hastings LLC (Haida Healthcare and Rehabilitation Center)
• Haida PA Opco LLC (Haida Nursing and Rehab)
• David G Hershberger, MD
• John Crawford III DO
• Joseph Rezk (Rezk Medical Supply)
• Keystone Rehabilitation Systems Inc (Keystone Rehabilitation Systems)
• Mark Kopera, DMD

• Land Ambulance in Hastings, PA
• Providers in Hastings, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.