Huntingdon Ambulance Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04210 Issued in PA

Legal business name

HUNTINGDON AMBULANCE AUTHORITY

Practice address

411 10TH Street
Huntingdon, PA 16652-0000

Phone

(814) 643-6551

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Travis Gutshall

Title

Administrator

Phone

(814) 643-6551

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1679564850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166520016",
            "telephone_number": "814-643-6551",
            "fax_number": "814-643-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 10TH STREET",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166520000",
            "telephone_number": "814-643-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGDON AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "GUTSHALL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-643-6551"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HP EAST COMM.",
            "identifier": "0036315000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA BLUE SHIELD",
            "identifier": "248541",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019206330006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HP EAST HMO MDC",
            "identifier": "0036315000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC RR MEDICARE",
            "identifier": "590015316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Holt, D.O.
• Brian J Hoover, DPM
• Tracey Lee Hornak
• Debra Houck
• Amanda Iceria Hunter
• Huntingdon Area School District
• Huntingdon Base SVC Unit
• Huntingdon Chiropractic Center P.C.
• Huntingdon County Pride, Inc.
• Huntingdon Dental Care, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.