Organization Active NPI

Western Alliance Emergency Services Inc

  • Land Ambulance
  • Troy, PA
National Provider Identifier
1265566913
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017774840001MedicaidPA
603989300OtherPAUS DEPT OF LABOR
998501OtherPABLUE CROSS NEPA
02099365MedicaidNY
91151OtherPASTERLING OPTION 1
1445479OtherPAACCESS CARE II
814847OtherPAFIRST PRIORITY HEALTH
1145540OtherPAKEYSTONE MERCY HEALTH PLA
340379OtherPAHEALTH AMERICA
2129327000OtherPAHEALTH AMERICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070702000151 PA Part B Supplier - Ambulance Service Supplier 7719086883 Practice locations: Troy, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.