Active NPI
St Thomas Township Volunteer Fire & Rescue Co. Inc.
Doing business as St Thomas Ambulance
- Land Ambulance
- Saint Thomas, PA
National Provider Identifier
1235105362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03252
- Legal business name
- ST THOMAS TOWNSHIP VOLUNTEER FIRE & RESCUE CO. INC.
- Doing business as
- St Thomas Ambulance
- Practice address
- 34 Schoolhouse Rd
St Thomas, PA 17252 - Phone
- (717) 369-2946
- Fax
- (717) 369-5683
- NPI assigned
- Feb 28, 2006
- 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
- Mr. Robert H Mellott, EMT
- Title
- President
- Phone
- (717) 369-2946
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 03252 | PA | Primary |
Addresses
Primary practice location
34 Schoolhouse Rd
St Thomas, PA 17252
Mailing address
4 W Main St
Shiremanstown, PA 17011-6326
Phone (717) 920-8420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012930790005 | Medicaid | PA |
Other names 1
- St Thomas Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070802000256 | PA | Part B Supplier - Ambulance Service Supplier | 1658462882 | Practice locations: Saint Thomas, PA |
National Provider Directory
National Provider DirectoryLocations
4 W Main St
Shiremanstown, PA 17011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1235105362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W MAIN ST",
"city": "SHIREMANSTOWN",
"state": "PA",
"postal_code": "170116326",
"telephone_number": "717-920-8420",
"fax_number": "717-901-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SCHOOLHOUSE RD",
"city": "ST THOMAS",
"state": "PA",
"postal_code": "17252",
"telephone_number": "717-369-2946",
"fax_number": "717-369-5683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST THOMAS TOWNSHIP VOLUNTEER FIRE & RESCUE CO. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "MELLOTT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-369-2946",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012930790005",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Thomas Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Thomas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.