West Hazleton Community Ambulance Assn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WEST HAZLETON COMMUNITY AMBULANCE ASSN

Practice address

111 E. Cranberry Ave.
West Hazelton, PA 18202-3845

Phone

(570) 455-5221

Fax

(570) 455-1207

NPI assigned

Aug 18, 2005

Last updated

Jan 9, 2014By 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

Melissa M. Longazel

Title

President

Phone

(570) 459-0310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1740272426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E. CRANBERRY AVE.",
            "city": "WEST HAZELTON",
            "state": "PA",
            "postal_code": "182023845",
            "telephone_number": "570-455-5221",
            "fax_number": "570-455-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E. CRANBERRY AVE.",
            "city": "WEST HAZELTON",
            "state": "PA",
            "postal_code": "182023845",
            "telephone_number": "570-455-5221",
            "fax_number": "570-455-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAZLETON COMMUNITY AMBULANCE ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "LONGAZEL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-459-0310"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011469300005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Serafin Pelly, DDS

• Land Ambulance in West Hazelton, PA
• Providers in West Hazelton, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.