Provider Type Icon

PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP. INC. NPI 1619036548


NPI Information

NPI: 1619036548
Provider Name: PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 39D2150789

Address:
ROEMERVILLE RD
RT 390
GREENTOWN, PA
ZIP 18426
Phone: (570) 676-3818
Get Directions

PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC. is a land transport ambulance in Greentown, PA. PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC. NPI is 1619036548. The provider is registered as an organization entity type.

The provider's business location address is:

ROEMERVILLE RD
RT 390
GREENTOWN, PA
ZIP 18426
Phone: (570) 676-3818

The provider's authorized official is Amy Walck .
The authorized official title is President and has the following contact phone number (570) 676-5367.

The CLIA number assigned to this NPI record is 39D2150789 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 4/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport02122PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1220570MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
20013968170002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.