Duboistown Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04057 Issued in PA

Legal business name

DUBOISTOWN AMBULANCE SERVICE

Practice address

2661 Euclid Ave
Williamsport, PA 17702-6754

Phone

(570) 323-0461

NPI assigned

Dec 8, 2005

Last updated

Aug 17, 2018By 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

Mr. Craig S Kropp

Title

EMS Captain

Phone

(570) 321-1189

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Williamsport Area Ambulance Service Cooperative

  dba Susquehanna Regional EMS

  • Land Ambulance
  • Williamsport, PA
  • NPI 1013991389

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1598740003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGH STREET",
            "address_2": "C/O WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013109",
            "telephone_number": "570-321-2003",
            "fax_number": "570-321-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 EUCLID AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026754",
            "telephone_number": "570-323-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOISTOWN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "KROPP",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "570-321-1189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007672220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Dreher
• Anthony Cole Dressler
• Joshua Drouin
• Tenzin Drukdak, CRNA
• Lindsey A Dry, LAT, ATC
• Charlotte Dudek, PT
• Jennifer Dudek
• David Christie Duncan III, CRNA
• Shallary Simmons Duncan, PH.D.
• Joseph Edward Dunn, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.