Jefferson County EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05214 Issued in PA

Legal business name

JEFFERSON COUNTY EMS INC

Practice address

501 Pine St
Punxsutawney, PA 15767-0014

Phone

(814) 938-4119

Fax

(814) 938-3527

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Clayton C Snyder

Title

Board Member

Phone

(814) 938-0271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jefferson County EMS Former legal business name

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1720195738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "address_2": "501 PINE ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157670014",
            "telephone_number": "814-938-4119",
            "fax_number": "814-938-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PINE ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157670014",
            "telephone_number": "814-938-4119",
            "fax_number": "814-938-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "814-938-0271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007006530003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Independent Developmental Assessmen
• Indiana Healthcare Physician Services Inc
• Indiana Healthcare Physician Services, Inc
• Allison Marie Ishman
• Morgan A Janocha
• Jefferson Surgical Associates, PC
• Jon J Johnston, DMD
• Ashley Jordan, OTR/L
• Joseph Rezk
• Lisa M Kalberer, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.