Phoenix EMS Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PHOENIX EMS INC.

Practice address

3232 W Valley Rd
Smethport, PA 16749-3238

Phone

(814) 598-6468

NPI assigned

Dec 8, 2020

Last updated

Jan 13, 2021By 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

Marlin Hairston

Title

Ceo/Chief

Phone

(814) 366-3464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1205432051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167490124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 W VALLEY RD",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167493238",
            "telephone_number": "814-598-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "CEO/CHIEF",
        "authorized_official_telephone_number": "814-366-3464"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.