TLC Advanced Life Support, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02176 Issued in PA

Legal business name

TLC ADVANCED LIFE SUPPORT, LLC

Practice address

1819 Wooden Bridge Rd
Three Springs, PA 17264-9120

Phone

(717) 372-1178

Fax

(814) 685-3003

NPI assigned

Aug 18, 2005

Last updated

Jul 20, 2007By 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

Tammy Cook

Title

Owner

Phone

(717) 372-1178

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1801888664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WOODEN BRIDGE RD",
            "city": "THREE SPRINGS",
            "state": "PA",
            "postal_code": "172649120",
            "telephone_number": "717-372-1178",
            "fax_number": "814-685-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ADVANCED LIFE SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-372-1178"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Wayne Morris Jr., MS, ATC, PES
• Amanda Marie Robinson
• Shayna Scott
• Southern Huntingdon County School District
• Three Springs Area Ambulance Service Inc
• Stacey Wilson, PHDHP

• Land Ambulance in Three Springs, PA
• Providers in Three Springs, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.