Frackville Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FRACKVILLE COMMUNITY AMBULANCE ASSOCIATION

Practice address

52 E Arch St
Frackville, PA 17931-2207

Phone

(570) 874-2955

Fax

(570) 874-7436

NPI assigned

May 18, 2007

Last updated

Apr 13, 2011By 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

Mr. Leo R Luciani

Title

Financial Secretary/Treasurer

Phone

(570) 874-2955

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1790993186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179310015",
            "telephone_number": "570-874-2955",
            "fax_number": "570-874-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E ARCH ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312207",
            "telephone_number": "570-874-2955",
            "fax_number": "570-874-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRACKVILLE COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "LUCIANI",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCIAL SECRETARY/TREASURER",
        "authorized_official_telephone_number": "570-874-2955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012412880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Dolphin, COTAL
• Alicia Ann Dronick, PHARMD
• Desiree Marie Eltringham, DDS
• Darian Richard Feick, PT DPT
• Robert D Forwood, DDS
• Frackville Pharmacy Inc
• Shirley Ann French, CRNP, RPH
• Geisinger Clinic
• Good Samaritan Regional Medical Center
• Tanya A Goodman, MS, CAADC, LPC

• Land Ambulance in Frackville, PA
• Providers in Frackville, 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 13, 2011; 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.