Goodwill Hose Company Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

033166 Issued in PA

Legal business name

GOODWILL HOSE COMPANY AMBULANCE ASSOCIATION

Practice address

512 Canal St
Flemington, PA 17745-3714

Phone

(570) 748-9022

Fax

(570) 748-0174

NPI assigned

May 15, 2007

Last updated

Oct 29, 2025By 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

Kim Shainline

Title

Chief of Operations

Phone

(570) 748-9022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1588870992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18537",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152360537",
            "telephone_number": "800-521-0671",
            "fax_number": "724-234-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CANAL ST",
            "city": "FLEMINGTON",
            "state": "PA",
            "postal_code": "177453714",
            "telephone_number": "570-748-9022",
            "fax_number": "570-748-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HOSE COMPANY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "SHAINLINE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "570-748-9022"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "033166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007464380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shailendra Nath Kapoor, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.