Shickshinny Area Volunteer Ambulance Assoc Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHICKSHINNY AREA VOLUNTEER AMBULANCE ASSOC INC

Practice address

32 E Union St
Shickshinny, PA 18655-1211

Phone

(570) 542-7707

Fax

(570) 542-7858

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Tina M Remensnyder

Title

Captain

Phone

(570) 542-7707

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1770528788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "MOCANAQUA",
            "state": "PA",
            "postal_code": "186551505",
            "telephone_number": "570-542-7707",
            "fax_number": "570-542-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E UNION ST",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186551211",
            "telephone_number": "570-542-7707",
            "fax_number": "570-542-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHICKSHINNY AREA VOLUNTEER AMBULANCE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "REMENSNYDER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "570-542-7707"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "335969",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011821690008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan M O'Donovan, PA-C
• Rebecca Pawlik, R.D.,L.D.N.
• Pennsylvania CVS Pharmacy, L.L.C.
• Colleen Reynolds, PA-C
• Rural Health Corporation of Northeastern Pennsylvania
• Leanne C Smith, DC
• Jurgen Straub, MD
• Transformations Counseling and Emdr Services
• Kelby Ann Truchon
• Anne-Marie Urbanski, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.