Ebensburg Area Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06096 Issued in PA

Legal business name

EBENSBURG AREA AMBULANCE ASSOCIATION

Practice address

800 W High St
Ebensburg, PA 15931-1804

Phone

(814) 472-6700

Fax

(814) 472-9583

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Blake, NRP,CCEMTP

Title

Executive Director

Phone

(814) 472-6700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1669450334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W HIGH ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311804",
            "telephone_number": "814-472-6700",
            "fax_number": "814-472-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGH ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311804",
            "telephone_number": "814-472-6700",
            "fax_number": "814-472-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENSBURG AREA AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-472-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NRP,CCEMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010086670003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010086670002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. R.J. Scanlan Chiropractic Clinic, P,C.
• Drayer Physical Therapy Institute LLC
• Devin James Dumm
• Kathryn Dumm, RN
• Megan Nicole Dunlop, PHARMD
• Ebensburg Family Medicine Inc
• Janel Louise Ebersole
• Lindsey Eckenrode
• John Eddy, PT
• Linda L Edmiston, OTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.