Bloomsburg Volunteer Ambulance Association, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BLOOMSBURG VOLUNTEER AMBULANCE ASSOCIATION, INC.

Practice address

307 E. Main St.
Bloomsburg, PA 17815-1870

Phone

(570) 387-5140

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Timothy G. Wagner

Title

President

Phone

(570) 387-5140

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1659428639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178150120",
            "telephone_number": "570-387-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E. MAIN ST.",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151870",
            "telephone_number": "570-387-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMSBURG VOLUNTEER AMBULANCE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-387-5140"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "02173",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009983640003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bloomsburg University Speech & Hearing Clinic
• Bloomsburg Volunteer Ambulance Association
• Bogar Vision Care LLC
• Amanda Bogert
• Lorina Bolea, DO
• Donna E Bolinger, LCSW
• Erika Dorothy Book, DMD

• Land Ambulance in Bloomsburg, PA
• Providers in Bloomsburg, 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 26, 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.