Trucksville Volunteer EMS Fire & Rescue Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRUCKSVILLE VOLUNTEER EMS FIRE & RESCUE ASSOCIATION

Practice address

200 E Center St
Shavertown, PA 18708-1538

Phone

(570) 696-3776

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey B Evans

Title

President

Phone

(570) 696-3776

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence E Long III, MD

  • Internal Medicine Physician
  • The Dalles, OR
  • NPI 1396735346
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1447569728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CARVERTON RD",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081752",
            "telephone_number": "570-696-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CENTER ST",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081538",
            "telephone_number": "570-696-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCKSVILLE VOLUNTEER EMS FIRE & RESCUE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-696-3776"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025516440001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sutton Psychiatry & Behavioral Health PLLC
• The Harmony House Foundation, Inc
• Brian R Thomas, LMT
• Aphrodite J Togias, MD
• Dominick Peter Trombetta, PHARM.D, BCPS, CGP
• Kenneth R. Ustynoski, MD, FACS
• Valor Counseling, LLC
• Wilkes Barre Behavioral Hospital Company LLC
• Dale Arthur Wilkie, D.M.D.
• Lynn Ann Woods

• Land Ambulance in Shavertown, PA
• Providers in Shavertown, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.