Fivepointville Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04155 Issued in PA

Legal business name

FIVEPOINTVILLE AMBULANCE SERVICE

Practice address

1094 Dry Tavern Rd
Denver, PA 17517-8953

Phone

(717) 445-5937

Fax

(717) 445-9960

NPI assigned

Jun 24, 2005

Last updated

Feb 6, 2008By 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

Dennis Martin

Title

Office Manager

Phone

(717) 445-5937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1295731198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 DRY TAVERN RD",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175178953",
            "telephone_number": "717-445-5937",
            "fax_number": "717-445-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVEPOINTVILLE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-445-5937"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail E Diciano, OTR/L
• Gregory David Dreibelbis, LCSW
• Erika Zari Eby, LAT, ATC, CES
• W. Walter Engle, D.C.
• Eye Group of Lancaster County, LTD.
• Kylie Fjeld
• Nyasha Jonee Flores
• Funk and Voler, P.C.
• William C. Funk, D.M.D.
• Kelley Gallen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.