Northwest Emergency Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03034 Issued in PA

Legal business name

NORTHWEST EMERGENCY MEDICAL SERVICES INC

Practice address

380 W Bainbridge St
Elizabethtown, PA 17022-2106

Phone

(717) 361-8220

Fax

(717) 367-8514

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Scott Kingsboro

Title

Executive Director

Phone

(717) 361-8220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1649279829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W BAINBRIDGE ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222106",
            "telephone_number": "717-361-8220",
            "fax_number": "717-367-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "KINGSBORO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-361-8220"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001203358",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawn Michelle Neal, OTR/L
• Shannon N Ney, COTA/L
• Tiffany Ngan, DDS
• Jennifer Nguyen, D.O.
• Noelle Niessen, DMD
• Abby Ober, PTA
• Wade Ogurcak
• Izabella Olweiler, PT
• Optibarn
• Michael Allen Osborne, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.