Organization Active NPI

Lawrenceville Firemens Ambulance Association Inc

  • Land Ambulance
  • Lawrenceville, PA
National Provider Identifier
1962455238
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LAWRENCEVILLE FIREMENS AMBULANCE ASSOCIATION INC
Practice address
9-11 Mechanic St.
Lawrenceville, PA 16929-9768
Phone
(570) 827-2047
Fax
(570) 827-2010
NPI assigned
May 18, 2006
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Wendy L Six
Title
Treasurer
Phone
(570) 827-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

9-11 Mechanic St.
Lawrenceville, PA 16929-9768

Mailing address

PO Box 177
Lawrenceville, PA 16929-0177
Phone (570) 827-2047

Other identifiers 3

IdentifierTypeStateIssuer
359290OtherHEALTH AMERICA/HEALTH ASSURANCE
46184OtherGEISINGER HEALTH PLAN
1015602550001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060602000050 PA Part B Supplier - Ambulance Service Supplier 7214948405 Practice locations: Lawrenceville, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1962455238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "LAWRENCEVILLE",
            "state": "PA",
            "postal_code": "169290177",
            "telephone_number": "570-827-2047",
            "fax_number": "570-827-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-11 MECHANIC ST.",
            "city": "LAWRENCEVILLE",
            "state": "PA",
            "postal_code": "169299768",
            "telephone_number": "570-827-2047",
            "fax_number": "570-827-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE FIREMENS AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "SIX",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-827-2047"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "359290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "46184",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015602550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.