Organization Active NPI

Three Springs Area Ambulance Service Inc

  • Land Ambulance
  • Three Springs, PA
National Provider Identifier
1841282589
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04119 Issued in PA
Legal business name
THREE SPRINGS AREA AMBULANCE SERVICE INC
Practice address
102 Church St
Three Springs, PA 17264
Phone
(814) 448-2900
Fax
(814) 448-2908
NPI assigned
Aug 18, 2005
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Debe Whitsel
Title
Captain
Phone
(814) 448-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04119 PA Primary

Addresses

Primary practice location

102 Church St
Three Springs, PA 17264

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (717) 214-6018

Other identifiers 1

IdentifierTypeStateIssuer
000777523MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001147 PA Part B Supplier - Ambulance Service Supplier 4789644832 Practice locations: Three Springs, 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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1841282589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHURCH ST",
            "city": "THREE SPRINGS",
            "state": "PA",
            "postal_code": "17264",
            "telephone_number": "814-448-2900",
            "fax_number": "814-448-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE SPRINGS AREA AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "WHITSEL",
        "authorized_official_first_name": "DEBE",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "814-448-2900"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000777523",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.