Kingston Township Ambulance and Rescue Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KINGSTON TOWNSHIP AMBULANCE AND RESCUE ASSOCIATION

Practice address

200 E Center St
Shavertown, PA 18708-1538

Phone

(570) 696-3776

NPI assigned

Jul 19, 2006

Last updated

May 29, 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

David P Landmesser

Title

Treasurer

Phone

(570) 696-3776

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1649299884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E CENTER ST",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081538",
            "telephone_number": "570-696-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CENTER ST",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187081538",
            "telephone_number": "570-696-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON TOWNSHIP AMBULANCE AND RESCUE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "LANDMESSER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-696-3776"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012293270001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROG",
            "identifier": "080793300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NEPA",
            "identifier": "998558",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "284027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Hurwitz, OD
• Michelle Jeena Im, DO
• Jackson Township Volunteer Ambulance Association
• Thomas Paul Jiunta, DPM MA
• Jream Team LLC
• Albert R Klein Jr., DC
• Roberta Klein, LDN, D.C.
• Amy Marie Kozick, OTR/L
• Christine Lisman, RPH
• Samantha Jo Lupinski-Campbell, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.