Silver Spring Ambulance & Rescue Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06092 Issued in PA

Legal business name

SILVER SPRING AMBULANCE & RESCUE ASSOCIATION

Practice address

12 Eleanor Dr
New Kingstown, PA 17072

Phone

(717) 697-3131

Fax

(717) 697-4614

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Jan Nagle

Title

Director

Phone

(717) 697-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Silver Spring Ambulance and Rescue Association

  dba Division of Metro Med Services

  • Land Ambulance
  • New Cumberland, PA
  • NPI 1801881719

  O20060825000362

  Same enrollment

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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1982696621",
    "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": "12 ELEANOR DR",
            "city": "NEW KINGSTOWN",
            "state": "PA",
            "postal_code": "17072",
            "telephone_number": "717-697-3131",
            "fax_number": "717-697-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRING AMBULANCE & RESCUE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-697-3131"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000726847",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.