Organization Active NPI

Dalmatia Area Ambulance League

  • Land Ambulance
  • Herndon, PA
National Provider Identifier
1871562686
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Nov 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1016169040001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.