Coaldale Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COALDALE COMMUNITY AMBULANCE ASSOCIATION

Practice address

300 W Water St
Coaldale, PA 18218-1153

Phone

(570) 645-7927

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mike Erbe

Title

Ceo

Phone

(570) 645-7927

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1740371939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WATER ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182181153",
            "telephone_number": "570-645-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WATER ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182181153",
            "telephone_number": "570-645-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALDALE COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ERBE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-645-7927"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "088224300",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011561960004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Adams
• Devon M Bizarre, PA-C
• Carbon Schuylkill Community Hospital
• Carbon-Schuylkill Community Hospital, Inc.
• Coaldale Cardiology, Inc.
• Dilliswar Sahoo MD PC
• Ethan Eichhorst
• Kathleen C Fishe, PA-C
• Diana Gomez, OTR/L; RT, (R), (CT)
• James Hanson, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.