Active NPI
Western Alliance Emergency Services Inc
- Land Ambulance
- Troy, PA
National Provider Identifier
1265566913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WESTERN ALLIANCE EMERGENCY SERVICES INC
- Practice address
- 430 Canton St
Troy, PA 16947-1444 - Phone
- (570) 297-1235
- NPI assigned
- Mar 15, 2007
- Last updated
- Jun 27, 2008
- 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
- Thomas Carman
- Title
- Executive Director-Ceo
- Phone
- (570) 297-1235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
430 Canton St
Troy, PA 16947-1444
Mailing address
PO Box 13
Troy, PA 16947-0013
Phone (570) 297-1235
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017774840001 | Medicaid | PA | |
| 603989300 | Other | PA | US DEPT OF LABOR |
| 998501 | Other | PA | BLUE CROSS NEPA |
| 02099365 | Medicaid | NY | |
| 91151 | Other | PA | STERLING OPTION 1 |
| 1445479 | Other | PA | ACCESS CARE II |
| 814847 | Other | PA | FIRST PRIORITY HEALTH |
| 1145540 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 340379 | Other | PA | HEALTH AMERICA |
| 2129327000 | Other | PA | HEALTH AMERICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070702000151 | PA | Part B Supplier - Ambulance Service Supplier | 7719086883 | Practice locations: Troy, PA |
National Provider Directory
National Provider DirectoryLocations
129 Canton St
Troy, PA 16947
Phone (570) 297-1235
430 Canton St
Troy, PA 16947
Phone (570) 297-1235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1265566913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13",
"city": "TROY",
"state": "PA",
"postal_code": "169470013",
"telephone_number": "570-297-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 CANTON ST",
"city": "TROY",
"state": "PA",
"postal_code": "169471444",
"telephone_number": "570-297-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN ALLIANCE EMERGENCY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "CARMAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR-CEO",
"authorized_official_telephone_number": "570-297-1235"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017774840001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "603989300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NEPA",
"identifier": "998501",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02099365",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING OPTION 1",
"identifier": "91151",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCESS CARE II",
"identifier": "1445479",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "814847",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "1145540",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "340379",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "2129327000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.