Active NPI
Hemlock Farms - Blooming Grove Ambulance
- Ambulance
- Lords Valley, PA
National Provider Identifier
1679395768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250317001470 | PA | Part B Supplier - Ambulance Service Supplier | 8628590940 | Practice locations: Lords Valley, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2315014 | Hemlock Farms - Blooming Grove Ambulance | Certificate of waiver | Dec 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.