Southside Area Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHSIDE AREA AMBULANCE ASSOCIATION INC

Practice address

400 South St
Catawissa, PA 17820-1043

Phone

(570) 204-4695

Fax

(570) 356-2765

NPI assigned

Jan 4, 2007

Last updated

Oct 21, 2009By 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

George R Widger

Title

Chairman

Phone

(570) 204-4695

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1235286097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "CATAWISSA",
            "state": "PA",
            "postal_code": "178200141",
            "telephone_number": "570-204-4695",
            "fax_number": "570-356-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH ST",
            "city": "CATAWISSA",
            "state": "PA",
            "postal_code": "178201043",
            "telephone_number": "570-204-4695",
            "fax_number": "570-356-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE AREA AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "WIDGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "570-204-4695"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012522900004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Laubach
• Katie-Maureen Holahan McCoog, LCSW
• Joseph Schuyler Miller, MA
• Janet Kay Rarig, PSY D
• Southern Columbia School District
• Andrew Michael Williams, DMD

• Land Ambulance in Catawissa, PA
• Providers in Catawissa, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.