BLS Ambulance Transport,Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03238 Issued in PA

Legal business name

BLS AMBULANCE TRANSPORT,INC.

Practice address

14 Orchard Lane
Jeffersonville, PA 19403

Phone

(610) 539-7014

Fax

(610) 539-3280

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William J Bacon

Title

President

Phone

(610) 539-7014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366423709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ORCHARD LANE",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-539-7014",
            "fax_number": "610-539-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ORCHARD LANE",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-539-7014",
            "fax_number": "610-539-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLS AMBULANCE TRANSPORT,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-539-7014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Jeffersonville, PA
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• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.