Jim Thorpe EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05179 Issued in PA

Legal business name

JIM THORPE EMS

Practice address

100 E 10TH St
Jim Thorpe, PA 18229

Phone

(570) 325-4806

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 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

Thomas G Lager

Title

President

Phone

(570) 325-4806

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639199144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4096",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182294096",
            "telephone_number": "570-325-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 10TH ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "18229",
            "telephone_number": "570-325-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM THORPE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-325-4806"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3777775",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016621630005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "35946",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard H Harleman, R.P.
• Ella Hasson
• Helene Katz, PHD
• Patrick Mark Holland, D.C.
• Jim Thorpe Area School District
• Jim Thorpe Massage Therapy LLC
• Jim Thorpe Spinal Rehabilitation Inc. (Carbon Chiropractic)
• John Lalor Joyce Inc (Keystone Medical Equipment)
• Carol Ann Kardisco, MSW LCSW
• Helene S Katz, PHD

• Land Ambulance in Jim Thorpe, PA
• Providers in Jim Thorpe, 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 22, 2020; 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.