Centre Lifelink Emergency Medical Services Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03365 Issued in PA

Legal business name

CENTRE LIFELINK EMERGENCY MEDICAL SERVICES INC

Practice address

125 Puddintown Rd
State College, PA 16801-6825

Phone

(814) 237-8163

Fax

(814) 231-8788

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Kent Knable

Title

Chief

Phone

(717) 724-4136

Specialties & licenses 3

Addresses

Other identifiers 3

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1396797007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168040272",
            "telephone_number": "814-237-8163",
            "fax_number": "814-231-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PUDDINTOWN RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016825",
            "telephone_number": "814-237-8163",
            "fax_number": "814-231-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE LIFELINK EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "KNABLE",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "717-724-4136"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03365",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "03365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "609958800",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007658270006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE HEALTH PLAN",
            "identifier": "91001939800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in State College, PA
• Providers in State College, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.