Active NPI
Susquehanna Valley Mobility Services, Inc.
- Durable Medical Equipment & Medical Supplies
- Old Forge, PA
National Provider Identifier
1396053856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 6000007670
- Legal business name
- SUSQUEHANNA VALLEY MOBILITY SERVICES, INC.
- Practice address
- 302 Oak St
Old Forge, PA 18518-1619 - Phone
- (570) 471-3386
- Fax
- (570) 471-3376
- NPI assigned
- Sep 18, 2010
- Organization subpart
- Yes
- Parent organization
- SUSQUEHANNA VALLEY MOBILITY SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron S Lauver
- Title
- President/Owner
- Phone
- (570) 246-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6000007670 | PA | Primary |
Addresses
Primary practice location
302 Oak St
Old Forge, PA 18518-1619
Mailing address
302 Oak St
Old Forge, PA 18518-1619
Phone (570) 471-3386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019688510003 | Medicaid | PA |
National Provider Directory
National Provider Directory- Part of
- Susquehanna Valley Mobility Services Inc
Locations
302 Oak St
Old Forge, PA 18518
Phone (570) 471-3386
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Customized Equipment (DME)
- Milton, PA
- NPI 1922003599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1396053856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 OAK ST",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185181619",
"telephone_number": "570-471-3386",
"fax_number": "570-471-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 OAK ST",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185181619",
"telephone_number": "570-471-3386",
"fax_number": "570-471-3376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUEHANNA VALLEY MOBILITY SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUSQUEHANNA VALLEY MOBILITY SERVICES, INC.",
"enumeration_date": "2010-09-18",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "LAUVER",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "570-246-5300"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "6000007670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019688510003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Forge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.