Active NPI
Ashley Ambulance Association
- Land Ambulance
- Ashley, PA
National Provider Identifier
1558436741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04206
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008655460001 | Medicaid | PA | |
| 800419 | Other | FEDERAL BLACK LUNG |
National Provider Directory
National Provider DirectoryLocations
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.