NPIMap

Organization Active NPI

Port Matilda Emergency Medical Services

  • Land Ambulance
  • Port Matilda, PA
National Provider Identifier
1932477684
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04145 Issued in PA
Legal business name
PORT MATILDA EMERGENCY MEDICAL SERVICES
Practice address
402 S High St
Port Matilda, PA 16870-0495
Phone
(814) 692-1035
Fax
(814) 692-1030
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Mrs. Sandra P Neal
Title
President
Phone
(814) 692-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04145 PA Primary

Addresses

Primary practice location

402 S High St
Port Matilda, PA 16870-0495

Mailing address

PO Box 726
New Cumberland, PA 17070-0726
Phone (814) 692-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000066 PA Part B Supplier - Ambulance Service Supplier 2668630005 Practice locations: Port Matilda, PA

National Provider Directory

National Provider Directory

Locations

402 S High St
Port Matilda, PA 16870
Phone (814) 692-1035

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1932477684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "814-692-1035",
            "fax_number": "814-692-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S HIGH ST",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168700495",
            "telephone_number": "814-692-1035",
            "fax_number": "814-692-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT MATILDA EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-692-1035",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.