Dickson City Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DICKSON CITY COMMUNITY AMBULANCE ASSOCIATION

Practice address

2 Eagle LN
Dickson City, PA 18519-1350

Phone

(570) 383-1399

Fax

(570) 307-1005

NPI assigned

May 12, 2006

Last updated

Dec 29, 2014By 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

Thomas R. Homenchak

Title

Treasurer/Supervisor

Phone

(570) 383-1399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1871543454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EAGLE LN",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191350",
            "telephone_number": "570-383-1399",
            "fax_number": "570-307-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EAGLE LN",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191350",
            "telephone_number": "570-383-1399",
            "fax_number": "570-307-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON CITY COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "HOMENCHAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "TREASURER/SUPERVISOR",
        "authorized_official_telephone_number": "570-383-1399"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Marie Dawgert, MA
• Jacklyn Delprete, NP
• Robert Brandon Demeck
• Stephanie Denaples, OT
• Gianna Lynn Desanto
• Thomas Dipaola, PSY.D.
• Margaret Lauren Dodgson
• Ashley Dommes, PA-C
• Krystina Alexis Downs
• Rudolph Michael Drasler, GRADUATE INTERN

• Land Ambulance in Dickson City, PA
• Providers in Dickson City, 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 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.