Blossburg Firemens Ambulance Association, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BLOSSBURG FIREMENS AMBULANCE ASSOCIATION, INC

Practice address

324 Main St
Blossburg, PA 16912-1156

Phone

(570) 638-3366

NPI assigned

May 17, 2006

Last updated

Feb 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Rossell

Title

Chief

Phone

(570) 638-3366

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1679525331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BLOSSBURG",
            "state": "PA",
            "postal_code": "169120002",
            "telephone_number": "570-638-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MAIN ST",
            "city": "BLOSSBURG",
            "state": "PA",
            "postal_code": "169121156",
            "telephone_number": "570-638-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSBURG FIREMENS AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "ROSSELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "570-638-3366"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "286033",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007135800002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "078016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathryn G Brodrick, LCSW
• Brandyn M Choplosky, PA-C
• Concern-Professional Services for Children, Youth & Families
• Melody A Dematteis
• Anthonette Nicole Deprimo, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.