Organization Active NPI

Orwigsburg Ambulance Inc

  • Land Ambulance
  • Orwigsburg, PA
National Provider Identifier
1275650939
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04045 Issued in PA
Legal business name
ORWIGSBURG AMBULANCE INC
Practice address
500 E Market St
Orwigsburg, PA 17961-2050
Phone
(570) 366-2331
Fax
(570) 366-0519
NPI assigned
Mar 26, 2007
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Mr. Jeffrey L. Jones
Title
Board of Directors President
Phone
(570) 739-4456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04045 PA Primary

Addresses

Primary practice location

500 E Market St
Orwigsburg, PA 17961-2050

Mailing address

PO Box 4
Orwigsburg, PA 17961-0004
Phone (570) 366-2331

Other identifiers 1

IdentifierTypeStateIssuer
0007318920003MedicaidPA

National Provider Directory

National Provider Directory

Locations

500 E Market St
Orwigsburg, PA 17961
Phone (570) 366-2331

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1275650939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179610004",
            "telephone_number": "570-366-2331",
            "fax_number": "570-366-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MARKET ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612050",
            "telephone_number": "570-366-2331",
            "fax_number": "570-366-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORWIGSBURG AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS PRESIDENT",
        "authorized_official_telephone_number": "570-739-4456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007318920003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.