Sugarloaf Community Rescue &

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SUGARLOAF COMMUNITY RESCUE &

Practice address

987 Elk Grove Rd
Benton, PA 17814-7404

Phone

(570) 925-6070

Fax

(570) 925-6070

NPI assigned

Oct 24, 2007

Last updated

Nov 2, 2010By 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

Mrs. Peggy Ann Seward, EMT

Title

Secretary

Phone

(570) 925-5824

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1609055896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 ELK GROVE RD",
            "city": "BENTON",
            "state": "PA",
            "postal_code": "178147404",
            "telephone_number": "570-925-6070",
            "fax_number": "570-925-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 ELK GROVE RD",
            "city": "BENTON",
            "state": "PA",
            "postal_code": "178147404",
            "telephone_number": "570-925-6070",
            "fax_number": "570-925-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF COMMUNITY RESCUE &",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "SEWARD",
        "authorized_official_first_name": "PEGGY ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "570-925-5824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024805150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte K Moss, RPH
• Dale Neiderhiser, D.C.
• North Columbia Medical Offices, Inc.
• Richard A Prisuta, D.O.
• Ekatherina Shaportova
• Sugarloaf Community Rescue & Ambulance Association
• Vine Pharmacy
• Vine Pharmacy
• Vine Pharmacy
• Cortney B Young, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.