Active NPI
Sweet Valley Ambulance Association, Inc
- Land Ambulance
- Sweet Valley, PA
National Provider Identifier
1720108616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05104
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012930880001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091216000165 | PA | Part B Supplier - Ambulance Service Supplier | 4789724196 | Practice locations: Sweet Valley, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2190559 | Sweet Valley Ambulance Association | Certificate of waiver | Aug 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.