Girardville Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03292 Issued in PA

Legal business name

GIRARDVILLE AMBULANCE SERVICE

Practice address

101-105 W Main St
Girardville, PA 17935

Phone

(570) 276-1261

Fax

(570) 276-1001

NPI assigned

Jun 24, 2005

Last updated

Aug 22, 2020By 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

Louanne Olson

Title

Treasurer

Phone

(570) 276-1261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427054352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-105 W MAIN ST",
            "city": "GIRARDVILLE",
            "state": "PA",
            "postal_code": "17935",
            "telephone_number": "570-276-1261",
            "fax_number": "570-276-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRARDVILLE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "LOUANNE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-276-1261"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Girardville, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.