Promised Land Volunteer Fire Company and Ambulance Corp., Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02122 Issued in PA

Legal business name

PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.

Practice address

Roemerville Rd
RT 390
Greentown, PA 18426

Phone

(570) 676-3818

NPI assigned

Dec 6, 2006

Last updated

Apr 13, 2009By 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

Amy Walck

Title

President

Phone

(570) 676-5367

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1619036548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1846",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187080846",
            "telephone_number": "570-714-3694",
            "fax_number": "570-714-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROEMERVILLE RD",
            "address_2": "RT 390",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "18426",
            "telephone_number": "570-676-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "WALCK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-676-5367"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013968170002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Greentown, PA
• Providers in Greentown, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.