NPIMap

Organization Active NPI

Forest City Area Volunteer Ambulance Association

  • Land Ambulance
  • Forest City, PA
National Provider Identifier
1730286162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04309 Issued in PA
Legal business name
FOREST CITY AREA VOLUNTEER AMBULANCE ASSOCIATION
Practice address
345 Delaware Street Rear
Forest City, PA 18421-1403
Phone
(570) 785-5025
Fax
(570) 785-2369
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Prince Sr.
Title
President
Phone
(570) 785-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04309 PA Primary

Addresses

Primary practice location

345 Delaware Street Rear
Forest City, PA 18421-1403

Mailing address

PO Box 151
Forest City, PA 18421-0151
Phone (570) 785-5025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730286162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184210151",
            "telephone_number": "570-785-5025",
            "fax_number": "570-785-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DELAWARE STREET REAR",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211403",
            "telephone_number": "570-785-5025",
            "fax_number": "570-785-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CITY AREA VOLUNTEER AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-785-5025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.