Wind Gap Ambulance Corps Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05180 Issued in PA

Legal business name

WIND GAP AMBULANCE CORPS INC

Practice address

547 E West St
Wind Gap, PA 18091-1255

Phone

(610) 863-7623

Fax

(610) 863-7647

NPI assigned

Jan 11, 2007

Last updated

Feb 25, 2020By 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

Casey Zelena

Title

Authorized Official

Phone

(610) 863-7623

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1598815466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E WEST ST",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911255",
            "telephone_number": "610-863-7623",
            "fax_number": "610-863-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E WEST ST",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911255",
            "telephone_number": "610-863-7623",
            "fax_number": "610-863-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND GAP AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "ZELENA",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-863-7623"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL BLE CROSS",
            "identifier": "50003082",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012412600007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna M Wallinger-Corvino, DMD
• Abbigail Walsh
• F. Joseph Werner, O.D.
• Regan Whitesell, M. ED.
• Candace Charisse Williams, MS, OTR/L
• Wind Gap Community Pharmacy Inc
• Wind Gap Community Pharmacy Inc
• Melat Tiruneh Worku, MD
• Ken Zhongyu Zhang, MD

• Land Ambulance in Wind Gap, PA
• Providers in Wind Gap, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.