Edwardsville Volunteer Firemens Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EDWARDSVILLE VOLUNTEER FIREMENS COMMUNITY AMBULANCE ASSOCIATION

Practice address

470 Main St
Edwardsville, PA 18704-3275

Phone

(570) 288-8464

NPI assigned

Nov 22, 2006

Last updated

May 14, 2009By 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

Ronald S Leonard

Title

President

Phone

(570) 288-8464

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1801961040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187043275",
            "telephone_number": "570-288-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187043275",
            "telephone_number": "570-288-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDSVILLE VOLUNTEER FIREMENS COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-288-8464"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012401190002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Edwardsville, PA
• Providers in Edwardsville, 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 14, 2009; 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.