Port Area Ambulance Service, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

04289 Issued in PA

Legal business name

PORT AREA AMBULANCE SERVICE, INC.

Practice address

22279 Route 6
Port Allegany, PA 16743-1617

Phone

(814) 642-2057

Fax

(814) 642-2912

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Larry B. Norton

Title

Vice-President

Phone

(814) 642-2057

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1508077447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22279 ROUTE 6",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431617",
            "telephone_number": "814-642-2057",
            "fax_number": "814-642-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22279 ROUTE 6",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431617",
            "telephone_number": "814-642-2057",
            "fax_number": "814-642-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT AREA AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "814-642-2057"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "04289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590006536",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Port Allegany Chiropractic LLC
• Port Aqllegany Pharmacy
• Rite Aid of Pennsylvania LLC
• Sagewood, Inc.
• Daniel E Schott, OD
• Edwin M Schott, OD
• Mark H Shelley, M.D.

• Ambulance in Port Allegany, PA
• Providers in Port Allegany, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.