Organization Active NPI

West Deer Ambulance Service, Inc.

  • Ambulance
  • Cheswick, PA
National Provider Identifier
1740397330
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02137 Issued in PA
Legal business name
WEST DEER AMBULANCE SERVICE, INC.
Practice address
101 E Union Rd
Cheswick, PA 15024-1719
Phone
(724) 265-4750
Fax
(724) 265-0003
NPI assigned
Aug 23, 2006
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Charles H Fleischer
Title
Chariman of the Board
Phone
(724) 265-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02137 PA Primary

Addresses

Primary practice location

101 E Union Rd
Cheswick, PA 15024-1719

Mailing address

PO Box 202
Russellton, PA 15076
Phone (724) 265-4750

Other identifiers 1

IdentifierTypeStateIssuer
0011760540002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081204000827 PA Part B Supplier - Ambulance Service Supplier 1153497755 Practice locations: Cheswick, PA

National Provider Directory

National Provider Directory

Locations

101 E Union Rd
Cheswick, PA 15024
Phone (724) 265-3033

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1740397330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "RUSSELLTON",
            "state": "PA",
            "postal_code": "15076",
            "telephone_number": "724-265-4750",
            "fax_number": "724-265-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E UNION RD",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150241719",
            "telephone_number": "724-265-4750",
            "fax_number": "724-265-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DEER AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "FLEISCHER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHARIMAN OF THE BOARD",
        "authorized_official_telephone_number": "724-265-4750"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "02137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011760540002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheswick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.