Organization Active NPI

Plains Volunteer Ambulance Association

  • Land Ambulance
  • Plains, PA
National Provider Identifier
1861480949
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03366 Issued in PA
Legal business name
PLAINS VOLUNTEER AMBULANCE ASSOCIATION
Practice address
90 Maffett St
Plains, PA 18705-1933
Phone
(570) 822-9279
Fax
(570) 223-6226
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mr. Paul A Zabriski
Title
Treasurer
Phone
(570) 822-9279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03366 PA Primary

Addresses

Primary practice location

90 Maffett St
Plains, PA 18705-1933

Mailing address

PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007

Other identifiers 14

IdentifierTypeStateIssuer
590004230OtherUNITED HC RR MEDICARE
PA3384OtherPHS HEALTH PLAN COMMERCIA
118002600OtherDEPT OF LABOR WORK COMP
0603710OtherAETNA USHC BLUE BELL HMO
51687OtherGHP
1063900OtherKEYSTONE MERCY HMO DPA
0012187710002MedicaidPA
089529300OtherFEDERAL BLACK LUNG
801060OtherFIRST PRIORITY HEALTH
895293OtherUMWA HEALTH AND RET FUNDS
201642OtherBCBS OF PA BLUE SHIELD
PA3384OtherACS HEALTH NET HMO MDC
PA3384OtherQUALMED
PA3384OtherACS HEALTH NET COMMERCIAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120904000022 PA Part B Supplier - Ambulance Service Supplier 2062669674 Practice locations: Plains, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2315745Plains Volunteer Ambulance Association90 Maffett St, Plains, PA 18705Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

90 Maffett St
Plains, PA 18705
Phone (570) 822-9279

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1861480949",
    "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": "90 MAFFETT ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051933",
            "telephone_number": "570-822-9279",
            "fax_number": "570-223-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS VOLUNTEER AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "ZABRISKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-822-9279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC RR MEDICARE",
            "identifier": "590004230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTH PLAN COMMERCIA",
            "identifier": "PA3384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR WORK COMP",
            "identifier": "118002600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC BLUE BELL HMO",
            "identifier": "0603710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "51687",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HMO DPA",
            "identifier": "1063900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012187710002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "089529300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "801060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA HEALTH AND RET FUNDS",
            "identifier": "895293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA BLUE SHIELD",
            "identifier": "201642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET HMO MDC",
            "identifier": "PA3384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALMED",
            "identifier": "PA3384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET COMMERCIAL",
            "identifier": "PA3384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.