Organization Active NPI

Hemlock Farms - Blooming Grove Ambulance

  • Ambulance
  • Lords Valley, PA
National Provider Identifier
1679395768
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HEMLOCK FARMS - BLOOMING GROVE AMBULANCE
Practice address
368 Hemlock Farms Road
Lords Valley, PA 18428
Phone
(570) 775-3774
Fax
(315) 635-3289
NPI assigned
Oct 29, 2024
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Anna Long
Title
EMS Supervisor
Phone
(201) 407-5787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

368 Hemlock Farms Road
Lords Valley, PA 18428

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317001470 PA Part B Supplier - Ambulance Service Supplier 8628590940 Practice locations: Lords Valley, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2315014Hemlock Farms - Blooming Grove Ambulance368 Hemlock Farms Road, Hawley, PA 18428Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

488 Route 739
Lords Valley, PA 18428

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1679395768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "800-927-5845",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 HEMLOCK FARMS ROAD",
            "city": "LORDS VALLEY",
            "state": "PA",
            "postal_code": "18428",
            "telephone_number": "570-775-3774",
            "fax_number": "315-635-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMLOCK FARMS - BLOOMING GROVE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "201-407-5787"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lords Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.