Organization Active NPI

Lansford Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Lansford, PA
National Provider Identifier
1184742355
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04140 Issued in PA
Legal business name
LANSFORD VOLUNTEER AMBULANCE CORPS INC
Practice address
31 E Patterson St
Lansford, PA 18232-1424
Phone
(570) 645-9395
Fax
(570) 645-6482
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mrs. Rose Conrad, EMT RN
Title
Secretary
Phone
(570) 645-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04140 PA Primary

Addresses

Primary practice location

31 E Patterson St
Lansford, PA 18232-1424

Mailing address

PO Box 539
Mechanicsburg, PA 17055-0539
Phone (717) 728-1690

Other identifiers 1

IdentifierTypeStateIssuer
00149880 0003MedicaidPA

National Provider Directory

National Provider Directory

Locations

31 E Patterson St
Lansford, PA 18232
Phone (570) 645-9395

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1184742355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170550539",
            "telephone_number": "717-728-1690",
            "fax_number": "717-728-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E PATTERSON ST",
            "city": "LANSFORD",
            "state": "PA",
            "postal_code": "182321424",
            "telephone_number": "570-645-9395",
            "fax_number": "570-645-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSFORD VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "570-645-9395",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT   RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00149880 0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.