Citizens' Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05012 Issued in PA

Legal business name

CITIZENS' AMBULANCE SERVICE INC

Practice address

805 Hospital Rd
Indiana, PA 15701-3629

Phone

(724) 349-5511

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By 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

E William Staffen Jr.

Title

Board President

Phone

(724) 349-5511

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

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861407389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HOSPITAL RD",
            "address_2": "PO BOX 237",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-349-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-349-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS' AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAFFEN",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "724-349-5511",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010318990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manish Kumar Choudhary, MD
• Judy Christian, MA
• Beth Erin Christy, DPT
• Ki Young Chung, M.D.
• Kwang Ho Chung, M.D.
• Sandra Kathrine Cizek-Wood, MSW
• John Clair
• Beverly Clark
• Daniel C Clark, MD
• Jaime Lee Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.