Organization Active NPI

Richfield Ambulance League Inc

  • Basic Emergency Medical Technician
  • Richfield, PA
National Provider Identifier
1629121355
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
04042 Issued in PA
Legal business name
RICHFIELD AMBULANCE LEAGUE INC
Practice address
Route 35 West
Richfield, PA 17086
Phone
(717) 694-3711
NPI assigned
Jan 18, 2007
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosemary Hunsberger
Title
President
Phone
(570) 539-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 04042 PA Primary

Addresses

Primary practice location

Route 35 West
Richfield, PA 17086

Mailing address

PO Box 236
Richfield, PA 17086-0236
Phone (717) 694-3711

Other identifiers 1

IdentifierTypeStateIssuer
0011135280002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000536 PA Part B Supplier - Ambulance Service Supplier 2264586114 Practice locations: Richfield, PA

National Provider Directory

National Provider Directory

Locations

38146 Route 35 N
Richfield, PA 17086
Phone (717) 684-3711

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1629121355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "RICHFIELD",
            "state": "PA",
            "postal_code": "170860236",
            "telephone_number": "717-694-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 35 WEST",
            "city": "RICHFIELD",
            "state": "PA",
            "postal_code": "17086",
            "telephone_number": "717-694-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHFIELD AMBULANCE LEAGUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "HUNSBERGER",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-539-4075"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "04042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011135280002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.