Active NPI
Souderton Community Ambulance Association Inc
- Land Ambulance
- Telford, PA
National Provider Identifier
1497726400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SOUDERTON COMMUNITY AMBULANCE ASSOCIATION INC
- Practice address
- 223 West Reliance Rd
Telford, PA 18969 - Phone
- (215) 723-3400
- Fax
- (215) 723-1552
- NPI assigned
- Jan 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shirley F Flick, EMT
- Title
- President
- Phone
- (215) 723-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
223 West Reliance Rd
Telford, PA 18969
Mailing address
PO Box 64214
Souderton, PA 18964-0214
Phone (215) 723-3400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049080000 | Other | KEYSTONE EAST | |
| 10020074 | Other | KEYSTONE MERCY | |
| 07945 | Other | HEALTH PARTNERS | |
| 0011152820004 | Medicaid | PA | |
| 59001268 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
223 W Reliance Rd
Telford, PA 18969
Phone (215) 723-3400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1497726400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64214",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189640214",
"telephone_number": "215-723-3400",
"fax_number": "215-723-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 WEST RELIANCE RD",
"city": "TELFORD",
"state": "PA",
"postal_code": "18969",
"telephone_number": "215-723-3400",
"fax_number": "215-723-1552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUDERTON COMMUNITY AMBULANCE ASSOCIATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-28",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "FLICK",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-723-3400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0049080000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "10020074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "07945",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011152820004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "59001268",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Telford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.