Organization Active NPI

Penn Township Volunteer Emergency Service

  • Land Ambulance
  • Hanover, PA
National Provider Identifier
1831381375
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05169 Issued in PA
Legal business name
PENN TOWNSHIP VOLUNTEER EMERGENCY SERVICE
Practice address
204 Clover LN
Hanover, PA 17331-4300
Phone
(717) 637-4949
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Michael Smith
Title
Chief
Phone
(717) 637-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05169 PA Primary

Addresses

Primary practice location

204 Clover LN
Hanover, PA 17331-4300

Mailing address

204 Clover LN
Hanover, PA 17331-4300
Phone (717) 637-4949

Other identifiers 1

IdentifierTypeStateIssuer
1018925870001MedicaidPA

National Provider Directory

National Provider Directory

Locations

204 Clover Ln
Hanover, PA 17331
Phone (717) 637-4949

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1831381375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CLOVER LN",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173314300",
            "telephone_number": "717-637-4949",
            "fax_number": "717-634-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CLOVER LN",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173314300",
            "telephone_number": "717-637-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN TOWNSHIP VOLUNTEER EMERGENCY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "717-637-4949"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018925870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.