Organization Active NPI

Penns Valley Emergency Medical Services

  • Land Ambulance
  • Spring Mills, PA
National Provider Identifier
1326025990
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PENNS VALLEY EMERGENCY MEDICAL SERVICES
Practice address
106 Ross Hill Rd
Spring Mills, PA 16875-7909
Phone
(814) 422-8015
Fax
(814) 422-8031
NPI assigned
Dec 27, 2005
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Warren F Sasserman Sr.
Title
Treasurer
Phone
(814) 422-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

106 Ross Hill Rd
Spring Mills, PA 16875-7909

Mailing address

PO Box 650
Millheim, PA 16854-0650
Phone (814) 422-8015

Other identifiers 2

IdentifierTypeStateIssuer
0017315830002MedicaidPA
211846OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000038 PA Part B Supplier - Ambulance Service Supplier 0749242550 Practice locations: Spring Mills, PA

National Provider Directory

National Provider Directory

Locations

106 Ross Hill Rd
Spring Mills, PA 16875
Phone (814) 422-8015

3585 Penns Valley Rd
Spring Mills, PA 16875
Phone (814) 422-8015

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1326025990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "MILLHEIM",
            "state": "PA",
            "postal_code": "168540650",
            "telephone_number": "814-422-8015",
            "fax_number": "814-422-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROSS HILL RD",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168757909",
            "telephone_number": "814-422-8015",
            "fax_number": "814-422-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNS VALLEY EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SASSERMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "814-422-8015",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017315830002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "211846",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.