Active NPI
Sugarloaf Community Rescue & Ambulance Association
- Land Ambulance
- Benton, PA
National Provider Identifier
1497874259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 97330
- Legal business name
- SUGARLOAF COMMUNITY RESCUE & AMBULANCE ASSOCIATION
- Practice address
- 987 Elk Grove Rd
Benton, PA 17814-7404 - Phone
- (570) 925-5824
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Margaret Seward
- Title
- Treasurer
- Phone
- (570) 925-5824
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 97330 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
987 Elk Grove Rd
Benton, PA 17814-7404
Mailing address
987 Elk Grove Rd
Benton, PA 17814-7404
Phone (570) 925-5824
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7179231 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2010.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279843200000",
"number": "1497874259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 ELK GROVE RD",
"city": "BENTON",
"state": "PA",
"postal_code": "178147404",
"telephone_number": "570-925-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 ELK GROVE RD",
"city": "BENTON",
"state": "PA",
"postal_code": "178147404",
"telephone_number": "570-925-5824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGARLOAF COMMUNITY RESCUE & AMBULANCE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2010-07-23",
"status": "A",
"authorized_official_last_name": "SEWARD",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "570-925-5824"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "97330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7179231",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.