Corry Ambulance Service Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

05045 Issued in PA

Legal business name

CORRY AMBULANCE SERVICE INC.

Practice address

965 Shamrock LN
Corry, PA 16407-9121

Phone

(814) 664-8656

Fax

(814) 870-1950

NPI assigned

Aug 15, 2005

Last updated

Nov 24, 2015By 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

Abigail Johnson

Title

Director of Finance

Phone

(814) 870-1032

Specialties & licenses 2

Addresses

Other identifiers 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Corry Memorial Hospital Association

  • Critical Access Hospital
  • Corry, PA
  • NPI 1255788014

  Member Of

  NPD member
• Emergycare, Inc

  • Ambulance
  • Erie, PA
  • NPI 1033111554

  Member Of

  NPD member

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1316949878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022872",
            "telephone_number": "814-870-1010",
            "fax_number": "814-870-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SHAMROCK LN",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079121",
            "telephone_number": "814-664-8656",
            "fax_number": "814-870-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRY AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "814-870-1032"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "05045",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015627110004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall B Clapp, DMD
• Brooke Marie Clark, PTA
• Bryan Colligan, DO
• Matthew Copley, MA, NCC, LPC
• Lynne L Cornell, M.D.
• Corry Area School District
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.

• Ambulance in Corry, PA
• Providers in Corry, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.