Eastern Area Prehospital Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03090 Issued in PA

Legal business name

EASTERN AREA PREHOSPITAL SERVICE

Practice address

192 11TH St
Turtle Creek, PA 15145-1812

Phone

(412) 829-8155

Fax

(412) 824-9955

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen W T Shurgot, EMT-P

Title

Executive Director

Phone

(412) 829-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1386635704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "TURTLE CREEK",
            "state": "PA",
            "postal_code": "151450172",
            "telephone_number": "412-829-8155",
            "fax_number": "412-824-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 11TH ST",
            "city": "TURTLE CREEK",
            "state": "PA",
            "postal_code": "151451812",
            "telephone_number": "412-829-8155",
            "fax_number": "412-824-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN AREA PREHOSPITAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "SHURGOT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-829-8155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007038890002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Turtle Creek, PA
• Providers in Turtle Creek, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.