NPIMap

Organization Active NPI

Windham Ambulance

  • Ambulance
  • Rome, PA
National Provider Identifier
1497762561
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
04225 Issued in PA
Legal business name
WINDHAM AMBULANCE
Practice address
RR 2
Rome, PA 18837-9802
Phone
(570) 268-2417
NPI assigned
Aug 2, 2006
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Ms. Nancy J Clark
Title
Clerical Billing Service
Phone
(570) 268-2417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 04225 PA Primary

Addresses

Primary practice location

RR 2
Rome, PA 18837-9802

Mailing address

PO Box 111
Towanda, PA 18848-0111
Phone (570) 268-2417

Other identifiers 1

IdentifierTypeStateIssuer
0012067250004MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1497762561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188480111",
            "telephone_number": "570-268-2417",
            "fax_number": "570-265-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2",
            "city": "ROME",
            "state": "PA",
            "postal_code": "188379802",
            "telephone_number": "570-268-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLERICAL BILLING SERVICE",
        "authorized_official_telephone_number": "570-268-2417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012067250004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.