Organization Active NPI

Lincoln Boro VFR Co Ambulance

  • Land Ambulance
  • Elizabeth, PA
National Provider Identifier
1528046653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
02024 Issued in PA
Legal business name
LINCOLN BORO VFR CO AMBULANCE
Practice address
4312 Liberty Way
Elizabeth, PA 15037-3033
Phone
(412) 751-6080
Fax
(412) 751-6080
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Beisler
Title
President
Phone
(412) 751-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 02024 PA Primary

Addresses

Primary practice location

4312 Liberty Way
Elizabeth, PA 15037-3033

Mailing address

4312 Liberty Way
Elizabeth, PA 15037-3033
Phone (412) 751-6080

Other identifiers 4

IdentifierTypeStateIssuer
207132OtherPAUPMC FOR LIFE HEALTH
202874OtherPABLUE CROSS/BLUE SHIELD
P00095486OtherPARR MEDICARE/PALMETTO GBA
0012034100002MedicaidPA

National Provider Directory

National Provider Directory

Locations

4312 Liberty Way
Elizabeth, PA 15037
Phone (412) 751-6080

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528046653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 LIBERTY WAY",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150373033",
            "telephone_number": "412-751-6080",
            "fax_number": "412-751-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 LIBERTY WAY",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150373033",
            "telephone_number": "412-751-6080",
            "fax_number": "412-751-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN BORO VFR CO AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEISLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-751-6080"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR LIFE HEALTH",
            "identifier": "207132",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "202874",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE/PALMETTO GBA",
            "identifier": "P00095486",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012034100002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.