Glen Rock Emergency Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03128 Issued in PA

Legal business name

GLEN ROCK EMERGENCY MEDICAL SERVICES INC

Practice address

59 Water St
Glen Rock, PA 17327-1015

Phone

(717) 235-3379

Fax

(717) 227-2487

NPI assigned

Jun 24, 2005

Organization subpart

No

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

Authorized official

Name

Dale Richardson

Title

President

Phone

(717) 235-3379

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1972509891",
    "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": "717-214-6018",
            "fax_number": "717-214-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 WATER ST",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173271015",
            "telephone_number": "717-235-3379",
            "fax_number": "717-227-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ROCK EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-235-3379"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001140070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barclay Family Chiropractic
• Mary M Conrad, MS, CCC-SLP
• Dr. Wayne a. Mundis
• Kevin F Dyer, DDS
• Glen Rock Home Care LLC
• Kallie Lynn Heiges, LAT, ATC
• A. Douglas Hunger III, DDS
• Robert Louis Jackson Jr., D.C.
• Glen Eric Johnson, ATC

• Land Ambulance in Glen Rock, PA
• Providers in Glen Rock, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.