West Shore Advanced Life Support Services, Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

03060 Issued in PA

Legal business name

WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.

Doing business as

Berwick Area Ambulance Service
Danville Ambulance Service
Geisinger EMS1 more in Other names

Practice address

56 Woodbine LN
Danville, PA 17821-8020

Phone

(800) 367-0512

Fax

(717) 972-4753

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Cindy Mull

Title

Director Credentialing & Enrollment

Phone

(570) 271-6144

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 4

• Berwick Area Ambulance Service Doing business as
• Danville Ambulance Service Doing business as
• Geisinger EMS Doing business as
• West Shore EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• West Shore Advanced Life Support Services, Inc.

  • Paramedic
  • Danville, PA
  • NPI 1699431148

  O20060412000243

  Same enrollment

Tax ID family

West Shore Advanced Life Support Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Shore Advanced Life Support Services, Inc.

  • Paramedic
  • Danville, PA
  • NPI 1699431148
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• West Shore Advanced Life Support Services, Inc.

  • Paramedic
  • Danville, PA
  • NPI 1699431148
  NPPES parent name

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1518960749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "800-367-0512",
            "fax_number": "717-972-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218020",
            "telephone_number": "800-367-0512",
            "fax_number": "717-972-4753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 North St",
            "address_purpose": "LOCATION",
            "city": "Tremont",
            "state": "PA",
            "postal_code": "179811526",
            "country_code": "US",
            "telephone_number": "800-367-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 North St",
            "address_purpose": "LOCATION",
            "city": "Minersville",
            "state": "PA",
            "postal_code": "179541400",
            "country_code": "US",
            "telephone_number": "800-367-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "549 Fair St",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178151419",
            "country_code": "US",
            "telephone_number": "800-367-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Union Street",
            "address_purpose": "LOCATION",
            "city": "Shickshinny",
            "state": "PA",
            "postal_code": "18655",
            "country_code": "US",
            "telephone_number": "800-367-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 State Route 254",
            "address_purpose": "LOCATION",
            "city": "Orangeville",
            "state": "PA",
            "postal_code": "178599141",
            "country_code": "US",
            "telephone_number": "800-367-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 A St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178211603",
            "country_code": "US",
            "telephone_number": "800-367-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "570-271-6144"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PA",
            "license": "03060",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "03060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011732770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berwick Area Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Danville Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geisinger EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Shore EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Quinton LCSW
• Breanna Marie Wenner, RN
• Aileen Wertz, M.D.
• Jeffrey Wertz, D.O.
• Stephanie Lynn Wesner
• West Shore Advanced Life Support Services, Inc.
• Sara Fang-Jone West, D.O.
• Tyler Raymond West, D.O.
• Jamaica A Westfall-Snyder, MD
• Joshua A Weston, D.O.

• Paramedic in Danville, PA
• Providers in Danville, PA by specialty
• Paramedic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.