NPIMap

Organization Active NPI

Barrett Township Ambulance Corps, Inc

  • Land Ambulance
  • Mountainhome, PA
National Provider Identifier
1801950662
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BARRETT TOWNSHIP AMBULANCE CORPS, INC
Practice address
Route 191
Mountainhome, PA 18324
Phone
(570) 595-7621
NPI assigned
Dec 19, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Denise Mick
Title
Administrator
Phone
(570) 595-7621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

Route 191
Mountainhome, PA 18324

Mailing address

PO Box 105
Cresco, PA 18326-0105
Phone (570) 595-7621

Other identifiers 3

IdentifierTypeStateIssuer
998526OtherPABLUE CROSS NEPA
335965OtherPAHEALTH AMERICA
0007002140001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1801950662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "183260105",
            "telephone_number": "570-595-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 191",
            "city": "MOUNTAINHOME",
            "state": "PA",
            "postal_code": "18324",
            "telephone_number": "570-595-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT TOWNSHIP AMBULANCE CORPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MICK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-595-7621"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NEPA",
            "identifier": "998526",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "335965",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007002140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainhome, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.