Active NPI
Dalmatia Area Ambulance League
- Land Ambulance
- Herndon, PA
National Provider Identifier
1871562686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DALMATIA AREA AMBULANCE LEAGUE
- Practice address
- 134 Line Mountain Rd
Herndon, PA 17830-7326 - Phone
- (570) 758-8511
- NPI assigned
- Mar 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie E Stark-Kerstetter
- Title
- Vice-President
- Phone
- (570) 758-8511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
134 Line Mountain Rd
Herndon, PA 17830-7326
Mailing address
134 Line Mountain Rd
Herndon, PA 17830-7326
Phone (570) 758-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016169040001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
134 Line Mountain Rd
Herndon, PA 17830
Phone (570) 758-8511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226448000000",
"number": "1871562686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 LINE MOUNTAIN RD",
"city": "HERNDON",
"state": "PA",
"postal_code": "178307326",
"telephone_number": "570-758-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 LINE MOUNTAIN RD",
"city": "HERNDON",
"state": "PA",
"postal_code": "178307326",
"telephone_number": "570-758-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALMATIA AREA AMBULANCE LEAGUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2008-11-12",
"status": "A",
"authorized_official_last_name": "STARK-KERSTETTER",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "570-758-8511"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016169040001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.