Mifflinburg Community Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MIFFLINBURG COMMUNITY AMBULANCE SERVICE

Practice address

104 Chestnut St
Mifflinburg, PA 17844-1314

Phone

(570) 966-6880

NPI assigned

Dec 27, 2005

Last updated

Jun 25, 2008By 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

Stacy Mast

Title

Captain/Director

Phone

(570) 966-6880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan D Bastian, PA-C

  • Physician Assistant
  • Lewisburg, PA
  • NPI 1346616406
  NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1538146196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHESTNUT ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441314",
            "telephone_number": "570-966-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHESTNUT ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441314",
            "telephone_number": "570-966-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIFFLINBURG COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CAPTAIN/DIRECTOR",
        "authorized_official_telephone_number": "570-966-6880"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012989410004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn M Laboranti, MS, RDN
• Laurel Creek Counseling
• Shannon Leathers, RN BS IBCLC
• Shawn Patrick McGlaughlin, M.D.
• Mifflinburg Area School District
• Breezy Jane Moyer, O.D.
• Joseph Paul Myers, RDN
• Myoptik
• Nebiker Chiropractic Center PC
• Wendy Louise Orris

• Land Ambulance in Mifflinburg, PA
• Providers in Mifflinburg, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.