Organization Active NPI

West End Ambulance Service Inc.

Doing business as West End Ambulance

  • Land Ambulance
  • Johnstown, PA
National Provider Identifier
1952364770
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03103 Issued in PA
Legal business name
WEST END AMBULANCE SERVICE INC.
Doing business as
West End Ambulance
Practice address
175 Garfield St
Johnstown, PA 15906-2146
Phone
(814) 539-8045
Fax
(814) 539-4900
NPI assigned
Apr 11, 2006
Last updated
Sep 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Valerie Cameron
Title
Office Manager
Phone
(814) 539-8045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03103 PA Primary

Addresses

Primary practice location

175 Garfield St
Johnstown, PA 15906-2146

Mailing address

175 Garfield St
Johnstown, PA 15906-2146
Phone (814) 539-8045

Other identifiers 1

IdentifierTypeStateIssuer
0007062900001MedicaidPA

Other names 1

  • West End Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000016 PA Part B Supplier - Ambulance Service Supplier 6305097098 Practice locations: Johnstown, 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
39D0958824West End Ambulance Service Inc175 Garfield Street, Johnstown, PA 15906Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

175 Garfield St
Johnstown, PA 15906
Phone (814) 539-8045

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1952364770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GARFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062146",
            "telephone_number": "814-539-8045",
            "fax_number": "814-539-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GARFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062146",
            "telephone_number": "814-539-8045",
            "fax_number": "814-539-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-539-8045"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007062900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.