Mt Jewett Area Ambulance Association Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MT JEWETT AREA AMBULANCE ASSOCIATION INC

Practice address

39 E Main St
Mt Jewett, PA 16740-0355

Phone

(814) 778-7350

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Susan E Greer

Title

Treasuer

Phone

(814) 778-5187

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1851324974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST",
            "city": "MT JEWETT",
            "state": "PA",
            "postal_code": "167400355",
            "telephone_number": "814-778-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JEWETT AREA AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASUER",
        "authorized_official_telephone_number": "814-778-5187"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007080700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Paul Asp, PA-C
• Vanessa Asp, CRNP
• Tonya Leigh Aversa, CRNP
• Jordan Hults, MD
• Olean General Hospital
• Susan Sarah Panah, DO
• Linda D Rettger, M.D.

• Ambulance in Mt Jewett, PA
• Providers in Mt Jewett, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.