Organization Active NPI

Sugarloaf Community Rescue & Ambulance Association

  • Land Ambulance
  • Benton, PA
National Provider Identifier
1497874259
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
97330 Issued in PA
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 97330 PA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
7179231MedicaidPA

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.

Verify at the official NPI Registry.