Bennett's Valley Ambulance Association

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

75233144 Issued in PA

Legal business name

BENNETT'S VALLEY AMBULANCE ASSOCIATION

Practice address

12479 Bennetts Valley Highway
Penfield, PA 15849-0048

Phone

(814) 637-5725

Fax

(814) 637-5512

NPI assigned

Nov 22, 2005

Last updated

Apr 3, 2013By 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

Mr. Donald Clarence Logan

Title

Manager

Phone

(814) 637-5725

Specialties & licenses 1

Addresses

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1720061997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "PENFIELD",
            "state": "PA",
            "postal_code": "158490048",
            "telephone_number": "814-637-5725",
            "fax_number": "814-637-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12479 BENNETTS VALLEY HIGHWAY",
            "city": "PENFIELD",
            "state": "PA",
            "postal_code": "158490048",
            "telephone_number": "814-637-5725",
            "fax_number": "814-637-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT'S VALLEY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-637-5725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "75233144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Donahue, SLP
• Lori Ann Fetzer, OT
• Tucker Therapy
• Annette Tucker
• Jack Dennis Volpe, OCCUPATIONAL THERAPY

• Voluntary or Charitable Agency in Penfield, PA
• Providers in Penfield, PA by specialty
• Voluntary or Charitable Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.