Eureka Community Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06089 Issued in PA

Legal business name

EUREKA COMMUNITY AMBULANCE SERVICE

Practice address

304 E 3Rd Ave
Tarentum, PA 15084-1806

Phone

(724) 224-1499

Fax

(724) 468-1204

NPI assigned

Oct 2, 2006

Last updated

Dec 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon McKruit

Title

Cfo

Phone

(724) 468-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1841383833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 3RD AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841806",
            "telephone_number": "724-224-1499",
            "fax_number": "724-468-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 3RD AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841806",
            "telephone_number": "724-224-1499",
            "fax_number": "724-468-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "MCKRUIT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-468-1212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008956700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick B Doerfler Jr., M.D.
• Dr. Joseph R. Woodley, O.D. & Associates, P.C.
• Lisa M Drum, RN
• Jamie Dullinger, MOT, OTR/L
• Diane Emminger, LPN
• Robin Evanovich, RN
• Evergreen Counseling Services, Inc.
• Family Services of Western Pennsylvania
• Anthony Lungo Favero
• Maria Ferraco, R.D. LDN

• Land Ambulance in Tarentum, PA
• Providers in Tarentum, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.