Active NPI
St. Marys Area Ambulance Service, Inc.
- Land Ambulance
- Saint Marys, PA
National Provider Identifier
1841200680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05046
- Legal business name
- ST. MARYS AREA AMBULANCE SERVICE, INC.
- Practice address
- 773 Johnsonburg Rd
Saint Marys, PA 15857-3417 - Phone
- (814) 781-1571
- Fax
- (814) 781-8330
- NPI assigned
- Aug 8, 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
- Mr. Robert John Sorg
- Title
- General Manager
- Phone
- (814) 781-1571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05046 | PA | Primary |
Addresses
Primary practice location
773 Johnsonburg Rd
Saint Marys, PA 15857-3417
Mailing address
PO Box 2021
Indiana, PA 15701-5521
Phone (800) 440-6257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060314000674 | PA | Part B Supplier - Ambulance Service Supplier | 7911914080 | Practice locations: Saint Marys, 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 |
|---|---|---|---|
| 39D2220231 | St Marys Area Ambulance Service | Certificate of waiver | Apr 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
773 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 781-1571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1841200680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2021",
"city": "INDIANA",
"state": "PA",
"postal_code": "157015521",
"telephone_number": "800-440-6257",
"fax_number": "724-349-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573417",
"telephone_number": "814-781-1571",
"fax_number": "814-781-8330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARYS AREA AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "SORG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "814-781-1571",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.