Office of the Borough of Emmaus

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03397 Issued in PA

Legal business name

OFFICE OF THE BOROUGH OF EMMAUS

Doing business as

Emmaus Ambulance Corp

Practice address

100 N 6TH St
Emmaus, PA 18049-2414

Phone

(610) 967-5615

Fax

(610) 967-4432

NPI assigned

Jul 7, 2005

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey S Hoffman, RN, BSN, PHRN

Title

Ambulance Chief

Phone

(610) 967-5615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EMMAUS AMBULANCE CORP Doing business as

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1992703631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 6TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492414",
            "telephone_number": "610-967-5615",
            "fax_number": "610-967-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 6TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492414",
            "telephone_number": "610-967-5615",
            "fax_number": "610-967-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF THE BOROUGH OF EMMAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AMBULANCE CHIEF",
        "authorized_official_telephone_number": "610-967-5615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN, PHRN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012031700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMMAUS AMBULANCE CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.