Mahoning Valley Ambulance Association, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

13006 Issued in PA

Legal business name

MAHONING VALLEY AMBULANCE ASSOCIATION, INC.

Practice address

902 Mill Rd
Lehighton, PA 18235-9667

Phone

(570) 386-2518

Fax

(570) 386-3268

NPI assigned

Jan 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Walter Miller Jr.

Title

Treasurer

Phone

(570) 386-5800

Specialties & licenses 1

Addresses

Tax ID family

Mahoning Valley Ambulance Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mahoning Valley Ambulance Association

  • Land Ambulance
  • Lehighton, PA
  • NPI 1801883228
  NPD tax ID

Locations

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992785646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MILL RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359667",
            "telephone_number": "570-386-2518",
            "fax_number": "570-386-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MILL RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359667",
            "telephone_number": "570-386-2518",
            "fax_number": "570-386-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING VALLEY AMBULANCE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-386-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Lizak, DO
• Yingmo Lu
• Diane B Luedtke, CRNP
• Mahoning Operating LLC
• Mahoning Valley Ambulance Association
• Mahoning Valley Convalescent Home, Inc.
• Edward Marchessault, PT
• Kimberly Marchessault, PT
• Cheryl L Marinchak, O.D.
• William M Markson, M.D.

• Ambulance in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.