Southern Clarion County Volunteer Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03020 Issued in PA

Legal business name

SOUTHERN CLARION COUNTY VOLUNTEER AMBULANCE SERVICE

Doing business as

Southern Clarion County Volunteer Ambulance Service

Practice address

10515 Route 68
Rimersburg, PA 16248-7005

Phone

(814) 473-6252

Fax

(814) 473-9830

NPI assigned

Nov 8, 2005

Last updated

Mar 19, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHERN CLARION COUNTY VOLUNTEER AMBULANCE SERVICEAs reported in NPPES

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

Authorized official

Name

Fredrick Vasbinder

Title

Director of Operations

Phone

(814) 473-6252

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southern Clarion County Volunteer Ambulance Service Doing business as

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

Part of

So Clarion Co Vol Amb SVC

Locations

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1881675676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 ROUTE 68",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "162487005",
            "telephone_number": "814-473-6252",
            "fax_number": "814-473-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 ROUTE 68",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "162487005",
            "telephone_number": "814-473-6252",
            "fax_number": "814-473-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CLARION COUNTY VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN CLARION COUNTY VOLUNTEER AMBULANCE SERVICE",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "VASBINDER",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "814-473-6252"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016184080004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO/RR MEDICARE",
            "identifier": "441590468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Clarion County Volunteer Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Clarion County Volunteer Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Misty McCullough
• Lydi Ann Montgomery, RPH
• Jacqueline Brooks Smith, RN
• Union School District

• Ambulance in Rimersburg, PA
• Providers in Rimersburg, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.