Tioga Firemens Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TIOGA FIREMENS AMBULANCE ASSOCIATION

Practice address

7 Rarick Dr.
Tioga, PA 16946

Phone

(570) 835-5291

NPI assigned

Jun 16, 2006

Last updated

May 22, 2008By 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

William M Preston

Title

President

Phone

(570) 835-5291

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1760426860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "TIOGA",
            "state": "PA",
            "postal_code": "169460103",
            "telephone_number": "570-835-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RARICK DR.",
            "city": "TIOGA",
            "state": "PA",
            "postal_code": "16946",
            "telephone_number": "570-835-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA FIREMENS AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-835-5291"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007358820002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "352693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concern-Professional Service for Children, Youth & Families
• Concern-Professional Service for Children, Youth & Families
• Kimberly A Kosa, ATC
• Melissa Marie McArthur, TSSLD
• Keira Jasmine McCormick

• Land Ambulance in Tioga, PA
• Providers in Tioga, 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 22, 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.