Organization Active NPI

Clarksville Ambulance Service

  • Basic Emergency Medical Technician
  • Clarksville, PA
National Provider Identifier
1679776546
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
3000409 Issued in PA
Legal business name
CLARKSVILLE AMBULANCE SERVICE
Practice address
244 Center St
Clarksville, PA 15322-2106
Phone
(724) 377-2589
NPI assigned
Jun 7, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mike Benyi
Title
Ambulance Commander
Phone
(724) 377-2589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 3000409 PA Primary

Addresses

Primary practice location

244 Center St
Clarksville, PA 15322-2106

Mailing address

244 Center St
Clarksville, PA 15322-2106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1679776546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 CENTER ST",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153222106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 CENTER ST",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153222106",
            "telephone_number": "724-377-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BENYI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "AMBULANCE COMMANDER",
        "authorized_official_telephone_number": "724-377-2589"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "3000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.