Organization Active NPI

Hollidaysburg American Legion Hala Inc

  • Ambulance
  • Hollidaysburg, PA
National Provider Identifier
1841272770
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02235 Issued in PA
Legal business name
HOLLIDAYSBURG AMERICAN LEGION HALA INC
Practice address
801 Scotch Valley Rd
Hollidaysburg, PA 16648-9693
Phone
(814) 695-1421
Fax
(814) 695-8280
NPI assigned
Nov 16, 2005
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Gerald T Corbin
Title
Treasurer Board of Directors
Phone
(814) 695-1421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02235 PA Primary

Addresses

Primary practice location

801 Scotch Valley Rd
Hollidaysburg, PA 16648-9693

Mailing address

801 Scotch Valley Rd
PO Box 461
Hollidaysburg, PA 16648-9693
Phone (814) 695-1421

Other identifiers 6

IdentifierTypeStateIssuer
1019983OtherPAGATEWAY
0012782320002MedicaidPA
201256OtherPAUPMC HEALTHCARE
30507OtherPAGEISINGER HEATHPLAN
441590268OtherPAPALMENTO GSA
F21559075691OtherPAION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000041 PA Part B Supplier - Ambulance Service Supplier 3072535624 Practice locations: Hollidaysburg, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1841272770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SCOTCH VALLEY RD",
            "address_2": "PO BOX 461",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489693",
            "telephone_number": "814-695-1421",
            "fax_number": "814-695-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SCOTCH VALLEY RD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489693",
            "telephone_number": "814-695-1421",
            "fax_number": "814-695-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAYSBURG AMERICAN LEGION HALA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "TREASURER BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "814-695-1421"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "02235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1019983",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012782320002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTHCARE",
            "identifier": "201256",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEATHPLAN",
            "identifier": "30507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMENTO GSA",
            "identifier": "441590268",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ION",
            "identifier": "F21559075691",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.