Port Matilda Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04145 Issued in PA

Legal business name

PORT MATILDA EMERGENCY MEDICAL SERVICES

Practice address

402 S High St
Port Matilda, PA 16870

Phone

(814) 692-1035

Fax

(814) 692-1030

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Karen Brown

Title

Treasurer

Phone

(814) 692-1035

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1316948011",
    "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": "402 S HIGH ST",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "16870",
            "telephone_number": "814-692-1035",
            "fax_number": "814-692-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT MATILDA EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "814-692-1035"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001411056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Perez, PSYD
• Corinne Phillips Romero, MA, CCC-SLP
• David L Pick, D.C.
• Jennifer D Plummer, PHARM.D.
• Mark J Polis, M.D.
• Port Matilda Emergency Medical Services
• Brynn Porter
• Lisdeymi Prieto Yanes, PA-C
• Nivedita S Rao
• Dustin F Reed, PT

• Land Ambulance in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.