Organization Active NPI

New Bloomfield EMS

  • Land Ambulance
  • New Bloomfield, PA
National Provider Identifier
1942362926
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05105 Issued in PA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20071217000523 PA Part B Supplier - Ambulance Service Supplier 4385734169 Practice locations: New Bloomfield, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2172462New Bloomfield EMS23 W High St, PO Box 313, New Bloomfield, PA 17068Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.