Cameron County Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CAMERON COUNTY AMBULANCE SERVICE INC.

Practice address

299 East 2ND Street
Emporium, PA 15834-1339

Phone

(814) 486-0260

Fax

(814) 486-3455

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Tonyia Wennin

Title

Executive Director

Phone

(814) 486-0260

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1659484285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 EAST 2ND STREET",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341339",
            "telephone_number": "814-486-0260",
            "fax_number": "814-486-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EAST 2ND STREET",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341339",
            "telephone_number": "814-486-0260",
            "fax_number": "814-486-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON COUNTY AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "WENNIN",
        "authorized_official_first_name": "TONYIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-486-0260"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03124",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000717418",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abl Custom Compounding
• Allegheny Health Initiatives, LLP
• Cameron County Dental Center
• Cameron County School District
• Charles a. Blumle D.D.S., P.C.
• Charles Cole Memorial Hospital
• Christian Marie Clancy, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.