Active NPI
John Carroll Ambulance Assn
Doing business as John Carroll Area Ambulance Service
- Land Ambulance
- Carrolltown, PA
National Provider Identifier
1396731584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 03276
- Legal business name
- JOHN CARROLL AMBULANCE ASSN
- Doing business as
- John Carroll Area Ambulance Service
- Practice address
- 239 N Main St
Carrolltown, PA 15722-0368 - Phone
- (814) 344-8933
- Fax
- (814) 344-8733
- NPI assigned
- Sep 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cody M Williams
- Title
- Executive Director
- Phone
- (814) 344-8933
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 03276 | PA | |
| Land Ambulance | 3416L0300X | 03276 | PA | Primary |
Addresses
Primary practice location
239 N Main St
Carrolltown, PA 15722-0368
Mailing address
PO Box 368
Carrolltown, PA 15722-0368
Phone (814) 344-8933
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007037350002 | Medicaid | PA | |
| 811042 | Other | FEDERAL BLACK LUNG | |
| 590011489 | Other | PALMETTO/RR MEDICARE |
Other names 1
- John Carroll Area Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070712000737 | PA | Part B Supplier - Ambulance Service Supplier | 9931209426 | Practice locations: Carrolltown, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0961824 | John Carroll Area Ambulance Service | Certificate of waiver | Jun 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1396731584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "CARROLLTOWN",
"state": "PA",
"postal_code": "157220368",
"telephone_number": "814-344-8933",
"fax_number": "814-344-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 N MAIN ST",
"city": "CARROLLTOWN",
"state": "PA",
"postal_code": "157220368",
"telephone_number": "814-344-8933",
"fax_number": "814-344-8733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN CARROLL AMBULANCE ASSN",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CODY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "814-344-8933",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "03276",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "03276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007037350002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "811042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO/RR MEDICARE",
"identifier": "590011489",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "John Carroll Area Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrolltown, PA
- DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - St. Benedict)
- Gormish Chiropractic & Rehabilitation, Inc.
- Clay Andrew Gormish, DC
- Deron John Gormish, DC
- David James Gresko, LPC
- Joseph Rezk (Punxsy/Rezk Medical Supply)
- Shannon Renee Kirsch
- Brian E Lieb, DO
- Life Changing Support Services Inc.
- Brian Allen Maykovich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.