Firemens Ambulance Service Team

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FIREMENS AMBULANCE SERVICE TEAM

Practice address

800 Huron Ave
Renovo, PA 17764-1140

Phone

(570) 923-1446

Fax

(570) 923-1446

NPI assigned

May 23, 2008

Last updated

Feb 18, 2013By 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

Jimmy R Risley

Title

Chairman of the Board

Phone

(570) 923-1446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1649438870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HURON AVE",
            "city": "RENOVO",
            "state": "PA",
            "postal_code": "177641140",
            "telephone_number": "570-923-1446",
            "fax_number": "570-923-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HURON AVE",
            "city": "RENOVO",
            "state": "PA",
            "postal_code": "177641140",
            "telephone_number": "570-923-1446",
            "fax_number": "570-923-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREMENS AMBULANCE SERVICE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "RISLEY",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "570-923-1446"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021945500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centre Penn EMS
• D&S Haulman Enterprises LLC (Mountain View Pharmacy)
• Pattijo Edler, PA-C
• Alan Evert Edwards, MD
• Firemans Ambulance Service Team
• Frank L. Conly (Family Practice of Renovo)
• Quincey Sullivan George, CRNP
• Rupert Johnson
• Amanda Mae Jones-Sutliff, PAC
• Toni Alice Marcheskie, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.