Organization Active NPI

Sweet Valley Ambulance Association, Inc

  • Land Ambulance
  • Sweet Valley, PA
National Provider Identifier
1720108616
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05104 Issued in PA
Legal business name
SWEET VALLEY AMBULANCE ASSOCIATION, INC
Practice address
5399 Main Rd
Sweet Valley, PA 18656-2485
Phone
(570) 477-5500
Fax
(570) 477-5510
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
John Oley
Title
Treasurer
Phone
(570) 477-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05104 PA Primary

Addresses

Primary practice location

5399 Main Rd
Sweet Valley, PA 18656-2485

Mailing address

5399 Main Rd
Sweet Valley, PA 18656-2485
Phone (570) 477-5500

Other identifiers 1

IdentifierTypeStateIssuer
0012930880001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000165 PA Part B Supplier - Ambulance Service Supplier 4789724196 Practice locations: Sweet Valley, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2190559Sweet Valley Ambulance Association5399 Main Road, Sweet Valley, PA 18656Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Locations

5383 Main Rd
Sweet Valley, PA 18656
Phone (570) 477-5121

5399 Main Rd
Sweet Valley, PA 18656
Phone (570) 477-5500

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1720108616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 MAIN RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562485",
            "telephone_number": "570-477-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 MAIN RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562485",
            "telephone_number": "570-477-5500",
            "fax_number": "570-477-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET VALLEY AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "OLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-477-3686"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012930880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.