Organization Active NPI

Susquehanna Valley Mobility Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Old Forge, PA
National Provider Identifier
1396053856
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000007670 Issued in PA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0019688510003MedicaidPA

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.

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.

Verify at the official NPI Registry.