Organization Active NPI

St. Marys Area Ambulance Service, Inc.

  • Land Ambulance
  • Saint Marys, PA
National Provider Identifier
1841200680
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05046 Issued in PA
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

Updated by the provider on Sep 18, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20060314000674 PA Part B Supplier - Ambulance Service Supplier 7911914080 Practice locations: Saint Marys, 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
39D2220231St Marys Area Ambulance Service773 Johnsonburg Rd, St Marys, PA 15857Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.