Organization Active NPI

Cambridge Area Volunteer Ambulance Service Inc

  • Land Ambulance
  • Cambridge Springs, PA
National Provider Identifier
1588767552
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CAMBRIDGE AREA VOLUNTEER AMBULANCE SERVICE INC
Practice address
202 Venango Ave
Cambridge Springs, PA 16403-1040
Phone
(814) 398-4116
NPI assigned
Sep 6, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Sandra S Riley
Title
President
Phone
(814) 398-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

202 Venango Ave
Cambridge Springs, PA 16403-1040

Mailing address

202 Venango Ave
Cambridge Springs, PA 16403-1040
Phone (814) 398-4116

Other identifiers 2

IdentifierTypeStateIssuer
0006998750004MedicaidPA
138735OtherPAHEALTH AMERICA

National Provider Directory

National Provider Directory

Locations

202 Venango Ave
Cambridge Springs, PA 16403
Phone (814) 389-4116

312 Chestnut St
Rm 101
Meadville, PA 16335
Phone (814) 336-2482

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1588767552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 VENANGO AVE",
            "city": "CAMBRIDGE SPRINGS",
            "state": "PA",
            "postal_code": "164031040",
            "telephone_number": "814-398-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 VENANGO AVE",
            "city": "CAMBRIDGE SPRINGS",
            "state": "PA",
            "postal_code": "164031040",
            "telephone_number": "814-398-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE AREA VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-398-4116"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006998750004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "138735",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.