Active NPI
New Bloomfield EMS
- Land Ambulance
- New Bloomfield, PA
National Provider Identifier
1942362926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05105
- Legal business name
- NEW BLOOMFIELD EMS
- Practice address
- 23 W High St
New Bloomfield, PA 17068-0313 - Phone
- (717) 582-7471
- Fax
- (717) 582-7352
- NPI assigned
- Dec 15, 2006
- Last updated
- Nov 18, 2015
- 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
- Mrs. Rosie May Campbell
- Title
- Secretary
- Phone
- (717) 582-7471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05105 | PA | Primary |
Addresses
Primary practice location
23 W High St
New Bloomfield, PA 17068-0313
Mailing address
PO Box 313
New Bloomfield, PA 17068-0313
Phone (717) 582-7471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071217000523 | PA | Part B Supplier - Ambulance Service Supplier | 4385734169 | Practice locations: New Bloomfield, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2172462 | New Bloomfield EMS | Certificate of waiver | Sep 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
23 W High St
New Bloomfld, PA 17068
Phone (717) 582-7471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447804800000",
"number": "1942362926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 313",
"city": "NEW BLOOMFIELD",
"state": "PA",
"postal_code": "170680313",
"telephone_number": "717-582-7471",
"fax_number": "717-582-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W HIGH ST",
"city": "NEW BLOOMFIELD",
"state": "PA",
"postal_code": "170680313",
"telephone_number": "717-582-7471",
"fax_number": "717-582-7352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BLOOMFIELD EMS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2015-11-18",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "ROSIE",
"authorized_official_middle_name": "MAY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "717-582-7471",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bloomfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.