SNOW SHOE AMBULANCE & RESCUE SERVICE (NPI# 1326030065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326030065 |
| Entity Type | Organization |
| Organization Name | SNOW SHOE AMBULANCE & RESCUE SERVICE |
| Practice Address |
492 W Sycamore Rd Snow Shoe PA 16874-0127 |
| Mailing Address |
Po Box 271 Snow Shoe PA 16874-0271 |
| Practice Telephone | 8143874499 |
| Practice Fax Number | 8143870213 |
| Mailing Telephone | 8143874499 |
| Mailing Fax Number | 8143870213 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | SHARON NILSON (OPERATIONS CHIEF) |
| Authorized Official Telephone | 8143874499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEPARTMENT OF LABOR | 800497 | 01 |
| PA | 001792284 | 05 | |
| PA | 0017922840001 | 05 |
| Street Address |
492 W SYCAMORE RD |
| City | SNOW SHOE |
| State | PA |
| Zip Code | 16874-0127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| 1174615686 | Keystone Rural Health Consortia Inc | Clinic/Center | 402 East Sycamore Street, Snow Shoe, PA 16874-0402 | 2006-09-29 |
| 1023017050 | Tina Marie Green | Registered Nurse | 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | 2005-07-20 |
| 1508889858 | Moshannon Valley Pharmacy Inc | Pharmacy | 402 E Sycamore Rd, Snow Shoe, PA 16874-8832 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1174615686 | Keystone Rural Health Consortia Inc | Clinic/Center | 402 East Sycamore Street, Snow Shoe, PA 16874-0402 | 2006-09-29 |
| 1023017050 | Tina Marie Green | Registered Nurse | 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | 2005-07-20 |
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| 1508889858 | Moshannon Valley Pharmacy Inc | Pharmacy | 402 E Sycamore Rd, Snow Shoe, PA 16874-8832 | 2006-07-26 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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.