NPIMap

Organization Active NPI

Southern York County Emergency Medical Services

  • Land Ambulance
  • Fawn Grove, PA
National Provider Identifier
1467837815
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03132 Issued in PA
Legal business name
SOUTHERN YORK COUNTY EMERGENCY MEDICAL SERVICES
Practice address
171 S. Market St.
Fawn Grove, PA 17321-9659
Phone
(717) 382-4432
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Alex Christ
Title
EMS Manager
Phone
(717) 382-4432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03132 PA Primary

Addresses

Primary practice location

171 S. Market St.
Fawn Grove, PA 17321-9659

Mailing address

PO Box 31
Fawn Grove, PA 17321-0031
Phone (717) 382-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921000681 PA Part B Supplier - Ambulance Service Supplier 9234446477 Practice locations: Airville, PA; Delta, PA; Brogue, PA

National Provider Directory

National Provider Directory

Locations

3576 Delta Rd
Airville, PA 17302
Phone (717) 382-4432

33 Muddy Creek Forks Rd
Brogue, PA 17309
Phone (717) 673-0793

500 Main St
Delta, PA 17314
Phone (717) 382-4432

171 S Market St
Fawn Grove, PA 17321
Phone (717) 382-4432

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1467837815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "FAWN GROVE",
            "state": "PA",
            "postal_code": "173210031",
            "telephone_number": "717-382-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S. MARKET ST.",
            "city": "FAWN GROVE",
            "state": "PA",
            "postal_code": "173219659",
            "telephone_number": "717-382-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN YORK COUNTY EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "CHRIST",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "EMS MANAGER",
        "authorized_official_telephone_number": "717-382-4432"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fawn Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.