Glenville Ambulance, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

01013 Issued in PA

Legal business name

GLENVILLE AMBULANCE, LLC

Practice address

2414 Chambersburg Rd
Biglerville, PA 17307-9548

Phone

(443) 744-3114

NPI assigned

Oct 9, 2014

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Allen Bradley, RN, NRP

Title

President

Phone

(443) 744-3114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1508260126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CHAMBERSBURG RD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079548",
            "telephone_number": "443-744-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 CHAMBERSBURG RD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079548",
            "telephone_number": "443-744-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVILLE AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-744-3114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, NRP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "01013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Biglerville, PA
• Providers in Biglerville, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.