Harveys Lake Fire and Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HARVEYS LAKE FIRE AND AMBULANCE ASSOCIATION

Practice address

1349 Lakeside Drive
Harveys Lake, PA 18618-3116

Phone

(570) 639-1919

NPI assigned

Aug 23, 2006

Last updated

Dec 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles West

Title

EMS Captain

Phone

(570) 760-5506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1417064072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "HARVEYS LAKE",
            "state": "PA",
            "postal_code": "186180056",
            "telephone_number": "570-639-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 LAKESIDE DRIVE",
            "city": "HARVEYS LAKE",
            "state": "PA",
            "postal_code": "186183116",
            "telephone_number": "570-639-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEYS LAKE FIRE AND AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "570-760-5506"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041441370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bell Hearing Aid Service
• Derek Dragon
• Anna Dunlap, PHARMD
• Kaitlin Ann Fauerbach, MS, CCC-SLP
• Catherine Margaret Gialanella, FITTERS 0F2375
• Colleen Kutchkus
• Michal Markwith
• Rachael Martin, OTR/L
• Catherine Olean
• Kathy Parancih

• Land Ambulance in Harveys Lake, PA
• Providers in Harveys Lake, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.