Organization Active NPI

Ashley Ambulance Association

  • Land Ambulance
  • Ashley, PA
National Provider Identifier
1558436741
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04206 Issued in PA
Legal business name
ASHLEY AMBULANCE ASSOCIATION
Practice address
8 N Main St
Ashley, PA 18706-2202
Phone
(570) 714-3694
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Edward Holland
Title
Treasurer
Phone
(570) 714-3694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04206 PA Primary

Addresses

Primary practice location

8 N Main St
Ashley, PA 18706-2202

Mailing address

PO Box 1846
Shavertown, PA 18708-0846
Phone (570) 714-3694

Other identifiers 2

IdentifierTypeStateIssuer
0008655460001MedicaidPA
800419OtherFEDERAL BLACK LUNG

National Provider Directory

National Provider Directory

Locations

8 N Main St
Ashley, PA 18706
Phone (570) 714-3694

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558436741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187080846",
            "telephone_number": "570-714-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST",
            "city": "ASHLEY",
            "state": "PA",
            "postal_code": "187062202",
            "telephone_number": "570-714-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-714-3694"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008655460001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "800419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashley, 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.