Active NPI
Honesdale Volunteer Ambulance Corps Inc
- Ambulance
- Honesdale, PA
National Provider Identifier
1194725853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 04034
- Legal business name
- HONESDALE VOLUNTEER AMBULANCE CORPS INC
- Doing business as
- Honesdale EMS
- Practice address
- 12TH Street @ Industrial Point
Honesdale, PA 18431-0071 - Phone
- (570) 253-2911
- Fax
- (570) 253-2917
- NPI assigned
- Jul 26, 2005
- 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
- Ms. Sharon Gumpper
- Title
- Executive Director
- Phone
- (570) 253-2911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 04034 | PA | Primary |
Addresses
Primary practice location
12TH Street @ Industrial Point
Honesdale, PA 18431-0071
Mailing address
PO Box 71
Honesdale, PA 18431-0071
Phone (570) 253-2911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00779214 | Medicaid | PA | |
| 078698 | Other | PA | FIRST PRIORITY HEALTH |
| 998539 | Other | PA | BLUE CROSS OF NEPA |
Other names 1
- Honesdale EMS
National Provider Directory
National Provider DirectoryLocations
3298 Lake Ariel Hwy
Honesdale, PA 18431
Phone (570) 253-2911
10 Daniels Rd
#590
Lakeville, PA 18438
Phone (570) 253-2911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194725853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184310071",
"telephone_number": "570-253-2911",
"fax_number": "570-253-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12TH STREET @ INDUSTRIAL POINT",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184310071",
"telephone_number": "570-253-2911",
"fax_number": "570-253-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HONESDALE VOLUNTEER AMBULANCE CORPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUMPPER",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-253-2911",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "04034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00779214",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "078698",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NEPA",
"identifier": "998539",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Honesdale EMS",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.