Active NPI
Delaware Township Volunteer Ambulance Corp Inc
- Land Ambulance
- Dingmans Ferry, PA
National Provider Identifier
1821032061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012648900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060925000037 | PA | Part B Supplier - Ambulance Service Supplier | 9234134321 | Practice locations: Dingmans Ferry, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2135170 | Delaware Township Volunteer Ambulance Corporation | Certificate of waiver | Aug 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.