Active NPI
Wyoming Valley Professional Ambulance Service Inc
- Ambulance
- Wilkes Barre, PA
National Provider Identifier
1306996244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 40220
- Legal business name
- WYOMING VALLEY PROFESSIONAL AMBULANCE SERVICE INC
- Practice address
- 6 Rose LN
Wilkes Barre, PA 18702-5952 - Phone
- (570) 825-2317
- Fax
- (570) 829-6448
- NPI assigned
- Jan 11, 2007
- 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
- Mr. David Alvin Hontz
- Title
- General Manager
- Phone
- (570) 825-2317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 40220 | PA | Primary |
Addresses
Primary practice location
6 Rose LN
Wilkes Barre, PA 18702-5952
Mailing address
PO Box 2398
Wilkes Barre, PA 18703-2398
Phone (800) 601-9881
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2088016000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 8191213 | Other | NY | INDEPENDENT HEALTH |
| 2088016000 | Other | PA | AMERIHELATH INC |
| 30012666 | Other | PA | KEYSTON MERCY |
| 00000137400 | Other | PA | UNISON HEALTH PLAN OF PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1306996244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2398",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187032398",
"telephone_number": "800-601-9881",
"fax_number": "570-825-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ROSE LN",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187025952",
"telephone_number": "570-825-2317",
"fax_number": "570-829-6448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYOMING VALLEY PROFESSIONAL AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "HONTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALVIN",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "570-825-2317",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "40220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2088016000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8191213",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHELATH INC",
"identifier": "2088016000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTON MERCY",
"identifier": "30012666",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN OF PA",
"identifier": "00000137400",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
- Wyoming Valley Infectious Disease Assoc, PC
- Wyoming Valley Pathology Associates
- Wyoming Valley Pathology Associates
- Wyoming Valley Pathology LLC
- Wyoming Valley Professional Ambulance Service
- Wyoming Valley Radiation Medicine Associates P C
- Wyoming Valley Radiation Medicine Specialists P C
- Melody Wysocki, PSYD
- Patricia Yacovoni, RDN
- Rafael Yadao, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.