Organization Active NPI

Shinglehouse Ambulance Association

  • Land Ambulance
  • Shinglehouse, PA
National Provider Identifier
1669446779
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SHINGLEHOUSE AMBULANCE ASSOCIATION
Practice address
130 S Mill St
Shinglehouse, PA 16748-1675
Phone
(814) 697-6129
Fax
(814) 697-7747
NPI assigned
Feb 15, 2006
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Amber Salada
Title
Captain
Phone
(814) 697-6129

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 01033 PA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

130 S Mill St
Shinglehouse, PA 16748-1675

Mailing address

409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822

Other identifiers 1

IdentifierTypeStateIssuer
000764338-0005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031224000007 PA Part B Supplier - Ambulance Service Supplier 2567360712 Practice locations: Shinglehouse, PA

National Provider Directory

National Provider Directory

Locations

100 Industrial Way
Scottdale, PA 15683

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1669446779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MILL ST",
            "city": "SHINGLEHOUSE",
            "state": "PA",
            "postal_code": "167481675",
            "telephone_number": "814-697-6129",
            "fax_number": "814-697-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINGLEHOUSE AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "SALADA",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "814-697-6129"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "01033",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000764338-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shinglehouse, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.