Moshannon Valley EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03187 Issued in PA

Legal business name

MOSHANNON VALLEY EMS

Practice address

14 W Locust St
Philipsburg, PA 16866-2100

Phone

(814) 342-3292

Fax

(814) 342-1308

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Fay Foster

Title

Corporate Manager

Phone

(814) 342-3292

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1184601742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168660289",
            "telephone_number": "814-342-3292",
            "fax_number": "814-342-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W LOCUST ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662100",
            "telephone_number": "814-342-3292",
            "fax_number": "814-342-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHANNON VALLEY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "814-342-3292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1275334",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG (FBLP)",
            "identifier": "804703",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014783400003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "212641",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50002939",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE WORKMEN'S INS. FUND",
            "identifier": "00035215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "PO20236",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid State Medical Inc
• Mid-State Medical Services, Inc
• Akinola Mobolaji, MSN, APRN, PMHNP-BC
• Denise Michelle Moore, LPC
• Hannah Morgan, PHARMD
• Moshannon Valley Pharmacy Inc
• Moshannon Valley Pharmacy Inc
• Moshannon Valley Pharmacy Inc
• James Moslak
• Mount Nittany Medical Center

• Ambulance in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.

Verify at the official NPI Registry.