Harleysville Area Emergency Medical Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HARLEYSVILLE AREA EMERGENCY MEDICAL SERVICE, INC.

Practice address

309 Main St
Harleysville, PA 19438-2418

Phone

(717) 724-4136

Fax

(717) 214-6020

NPI assigned

Feb 4, 2007

Reactivated

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Richard C. Mast

Title

Treasurer

Phone

(215) 513-1880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1922146554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MAIN ST",
            "address_2": "PO BOX 16",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382418",
            "telephone_number": "215-513-1880",
            "fax_number": "215-513-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382418",
            "telephone_number": "717-724-4136",
            "fax_number": "717-214-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEYSVILLE AREA EMERGENCY MEDICAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "deactivation_date": "2020-07-15",
        "reactivation_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "215-513-1880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.