SHINGLEHOUSE AMBULANCE ASSOCIATION (NPI# 1669446779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669446779 |
Entity Type | Organization |
Organization Name | SHINGLEHOUSE AMBULANCE ASSOCIATION |
Practice Address |
121 S Mill St Shinglehouse PA 16748 |
Mailing Address |
Po Box 98 Shinglehouse PA 16748-0098 |
Practice Telephone | 8146976129 |
Practice Fax Number | 8146977747 |
Mailing Telephone | 8146976129 |
Mailing Fax Number | 8146977747 |
Enumeration Date | 2006-02-15 |
Last Update Date | 2011-05-04 |
Authorized Official Name | DAN ANTONIOLI (PRESIDENT) |
Authorized Official Telephone | 8146976129 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
01033 | PA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0007643380003 | 05 | |
PA | RR MEDICARE/PALMETTO GBA | 590012010 | 01 |
PA | BLUE CROSS/BLUE SHIELD | 284901 | 01 |
Street Address |
121 S MILL ST |
City | SHINGLEHOUSE |
State | PA |
Zip Code | 16748 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205392321 | Brianna Marie Harvey | Physical Therapist | 2902 South Rt. 44, Shinglehouse, PA 16748 | 2019-02-13 |
1407229602 | Susan Silvis | Nurse Practitioner | 129 N Puritain Street, Shinglehouse, PA 16748 | 2015-11-10 |
1215077383 | Eric Schreiber | Physician Assistant | 128 Lyons Street, Shinglehouse, PA 16748 | 2007-02-07 |
1407928757 | Charles Cole Memorial Hospital | Clinic/Center | 128 N Puritan Street, Shinglehouse, PA 16748 | 2006-11-14 |
1740223494 | James N Barke | Family Medicine | 23 Lyon Street, Shinglehouse, PA 16748 | 2006-06-13 |
1942741905 | Joseph Ray Sprout | Pharmacist | 122 East Academy St, Shinglehouse, PA 16748-0339 | 2017-03-10 |
1851832810 | Kari Marie Sprout | Pharmacist | 122 E Academy St, Shinglehouse, PA 16748-0339 | 2017-03-10 |
1114157039 | Amber Lyne Mcmichael | Licensed Practical Nurse | 133 Route 44, Shinglehouse, PA 16748-3615 | 2009-07-27 |
1134478001 | Jonnie M Geiger | Occupational Therapy Assistant | 84 Wheeler Hill Rd, Shinglehouse, PA 16748-3906 | 2012-09-06 |
1841559689 | Hillary Dawn Wilson | Licensed Practical Nurse | 436 Jacobs Hill Rd, Shinglehouse, PA 16748-5118 | 2012-05-14 |
Find all providers in zip 16748 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | SHINGLEHOUSE |
Zip Code | 16748 |
Please comment or provide details below to improve the information on SHINGLEHOUSE AMBULANCE ASSOCIATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.