Somerset Area Ambulance Association, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06090 Issued in PA

Legal business name

SOMERSET AREA AMBULANCE ASSOCIATION, INC

Practice address

115 Wood Duck Rd
Somerset, PA 15501-0615

Phone

(814) 445-6141

Fax

(814) 443-3155

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Clyde Ware

Title

Board of Directors, Treasurer

Phone

(814) 893-5974

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386791465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 615",
            "address_2": "115 WOOD DUCK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155010615",
            "telephone_number": "814-445-6141",
            "fax_number": "814-443-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WOOD DUCK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155010615",
            "telephone_number": "814-445-6141",
            "fax_number": "814-443-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET AREA AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS, TREASURER",
        "authorized_official_telephone_number": "814-893-5974"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007092830004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jannah Joele Slade
• Kathleen T Smith, PAC
• Ryan M. Smith, PHARMD
• Sandee Smith, RN
• Somerset Anesthesia Incorporated
• Somerset Area School District
• Somerset Cardiovascular Associates, P.C.
• Somerset Central Medical Associates
• Somerset Dental Associates PC
• Somerset Health Services Inc

• Land Ambulance in Somerset, PA
• Providers in Somerset, PA by specialty
• 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.
• 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.