Organization 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
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03252 Issued in PA
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

Updated by the provider on Jul 19, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012930790005MedicaidPA

Other names 1

  • St Thomas Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070802000256 PA Part B Supplier - Ambulance Service Supplier 1658462882 Practice locations: Saint Thomas, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.