Supervisors Shohola Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SUPERVISORS SHOHOLA TOWNSHIP

Doing business as

Shohola Township Ambulance

Practice address

137 Maple Drive
Shohola, PA 18458

Phone

(570) 559-7394

Fax

(570) 559-7523

NPI assigned

Mar 8, 2023

Last updated

Apr 18, 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

Ms. Diana Blume

Title

Administrator

Phone

(570) 559-7394

Specialties & licenses 1

Addresses

Other names 1

• Shohola Township Ambulance Doing business as

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1558061572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAPLE DRIVE",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "18458",
            "telephone_number": "570-559-7394",
            "fax_number": "570-559-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERVISORS SHOHOLA TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-559-7394",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shohola Township Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Reyes
• Angelina C Rhoades, LCSW
• Carley Elizabeth Salas, MS, RDN
• Shohola Volunteer Fire Department
• Lorraine Spinard, DC
• Susan Ficken Pediatric Therapy LLC
• Dora Tsiattalos, IBCLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.