Organization Active NPI

Delaware Township Volunteer Ambulance Corp Inc

  • Land Ambulance
  • Dingmans Ferry, PA
National Provider Identifier
1821032061
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DELAWARE TOWNSHIP VOLUNTEER AMBULANCE CORP INC
Practice address
135 Park Rd
Dingmans Ferry, PA 18328
Phone
(570) 828-2345
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Mary L Corbett
Title
Captain
Phone
(570) 828-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

135 Park Rd
Dingmans Ferry, PA 18328

Mailing address

PO Box 186
Dingmans Ferry, PA 18328-0186
Phone (570) 828-2345

Other identifiers 1

IdentifierTypeStateIssuer
0012648900001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060925000037 PA Part B Supplier - Ambulance Service Supplier 9234134321 Practice locations: Dingmans Ferry, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2135170Delaware Township Volunteer Ambulance Corporation135 Park Road, Dingmans Ferry, PA 18328Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

135 Park Rd
Dingmans Fry, PA 18328
Phone (570) 828-2345

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1821032061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183280186",
            "telephone_number": "570-828-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARK RD",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "18328",
            "telephone_number": "570-828-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE TOWNSHIP VOLUNTEER AMBULANCE CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "570-828-2345"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012648900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dingmans Ferry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.