Waymart Volunteer Ambulance Corps Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

64011 Issued in PA

Legal business name

WAYMART VOLUNTEER AMBULANCE CORPS INC

Practice address

28 Railroad LN
Waymart, PA 18472

Phone

(570) 488-5580

Fax

(570) 488-5580

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anita Thompson

Title

EMS Supervisor

Phone

(570) 488-5580

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1245456961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187080846",
            "telephone_number": "570-714-3694",
            "fax_number": "570-714-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RAILROAD LN",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "18472",
            "telephone_number": "570-488-5580",
            "fax_number": "570-488-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYMART VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "570-488-5580"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "64011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010700820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Ann Varghese
• Jennifer Villano
• Marina Leigh Villanueva, CRNP
• Morgan Wagner
• Waymart Eyecare
• Wayne Memorial Community Health Centers
• Wayne Memorial Hospital
• Wayne Woodlands Manor
• Janell R. Yzeik, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.