West End Advanced Life Support, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04194 Issued in PA

Legal business name

WEST END ADVANCED LIFE SUPPORT, INC

Practice address

296 Old Route 115
Saylorsburg, PA 18353

Phone

(610) 681-5810

Fax

(610) 681-5643

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Jackie Wenzel

Title

Office Manager

Phone

(610) 681-5810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1689671257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183530296",
            "telephone_number": "610-681-5810",
            "fax_number": "610-681-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 OLD ROUTE 115",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "18353",
            "telephone_number": "610-681-5810",
            "fax_number": "610-681-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END ADVANCED LIFE SUPPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-681-5810"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017216760001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Parnau, RN
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• John Troianiello
• Mollie Unger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.