Organization Active NPI

Bellwood Ambulance Assoc

  • Land Ambulance
  • Bellwood, PA
National Provider Identifier
1447221965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
02171 Issued in PA
Legal business name
BELLWOOD AMBULANCE ASSOC
Practice address
601 N 3Rd St
Bellwood, PA 16617-1811
Phone
(814) 742-7474
Fax
(814) 742-9720
NPI assigned
Feb 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leeann Miller
Title
President
Phone
(814) 742-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 02171 PA Primary

Addresses

Primary practice location

601 N 3Rd St
Bellwood, PA 16617-1811

Mailing address

601 N 3Rd St
Bellwood, PA 16617-1811
Phone (814) 742-7474

Other identifiers 3

IdentifierTypeStateIssuer
0015717570004MedicaidPA
205503OtherPABLUSE CROSS/BLUE SHIELD
205503OtherPAUMWA

National Provider Directory

National Provider Directory

Locations

601 N 3rd St
Bellwood, PA 16617
Phone (814) 742-8445

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447221965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 3RD ST",
            "city": "BELLWOOD",
            "state": "PA",
            "postal_code": "166171811",
            "telephone_number": "814-742-7474",
            "fax_number": "814-742-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 3RD ST",
            "city": "BELLWOOD",
            "state": "PA",
            "postal_code": "166171811",
            "telephone_number": "814-742-7474",
            "fax_number": "814-742-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLWOOD AMBULANCE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-742-7474"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015717570004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUSE CROSS/BLUE SHIELD",
            "identifier": "205503",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "205503",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellwood, PA

Sources for this page

  • 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.