JACKSON TOWNSHIP VOLUNTEER AMBULANCE ASSOCIATION (NPI# 1477598092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477598092 |
| Entity Type | Organization |
| Organization Name | JACKSON TOWNSHIP VOLUNTEER AMBULANCE ASSOCIATION |
| Practice Address |
1160 Chase Rd Shavertown PA 18708-9504 |
| Mailing Address |
Po Box 582 Dallas PA 18612-0582 |
| Practice Telephone | 5706964544 |
| Mailing Telephone | 5706964544 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | BRIAN L TITUS (PRESIDENT) |
| Authorized Official Telephone | 5706964544 |
| 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 | 0012771640001 | 05 |
| Street Address |
1160 CHASE RD |
| City | SHAVERTOWN |
| State | PA |
| Zip Code | 18708-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871076901 | Samantha Jo Lupinski-campbell | Massage Therapist | 52 S Memorial Highway, Shavertown, PA 18708 | 2018-09-14 |
| 1578939336 | Courtney Burgess-michak | Counselor | 1846 Memorial Highway, Suite 3, Shavertown, PA 18708 | 2015-08-17 |
| 1043620727 | Amy Cook | Recreation Therapist | 1207 Huntsville Road, Shavertown, PA 18708 | 2014-05-02 |
| 1437416849 | Richard G Coslett | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1902197635 | Vera Lynn Supey | Pharmacist | 2810 Memorial Hwy, Shavertown, PA 18708 | 2011-04-28 |
| 1912200288 | Aphrodite J Togias | Family Medicine | 140 Blueberry Road, Shavertown, PA 18708 | 2010-12-08 |
| 1811075104 | Charles T Brand Dmd Richard G Coslett Dmd PC | Dentist | 121 S Memorial Hwy, Shavertown, PA 18708 | 2006-11-02 |
| 1366822504 | Devin Carey | Family Medicine | 176 N Main St, Shavertown, PA 18708 | 2015-06-03 |
| 1356608764 | Charles T Brand | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1003857186 | Patrick Kilduff | Internal Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-06-09 |
| Find all providers in zip 18708 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649299884 | Kingston Township Ambulance and Rescue Association | Ambulance | 200 E Center St, Shavertown, PA 18708-1538 | 2006-07-19 |
| 1447569728 | Trucksville Volunteer Ems Fire & Rescue Association | Ambulance | 200 E Center St, Shavertown, PA 18708-1538 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784194 | Constant Medical Response, Inc | Ambulance | 780 Falcon Cir Ste 122, Warminster, PA 18974-5130 | 2020-06-10 |
| 1477183515 | Emergency Medical Transport Solutions, LLC | Ambulance | 29 Grayson View Ct, Selinsgrove, PA 17870-8347 | 2020-01-16 |
| 1982244554 | East Erie County Emergency Medical Services Corporation | Ambulance | 5601 Buffalo Rd, Harborcreek, PA 16421-1625 | 2020-01-13 |
| 1548810054 | Medicteam LLC | Ambulance | 55 New St Ste 20, Ephrata, PA 17522-2815 | 2019-09-17 |
| 1639735830 | Precise Medical Response | Ambulance | 6118 Glenloch St, Philadelphia, PA 19135-3613 | 2019-05-13 |
| 1558926758 | S & S Medical Transport LLC | Ambulance | 1608 Colonial Cir, Lebanon, PA 17046-1964 | 2019-05-03 |
| 1811552136 | Ambulnz Pa, LLC | Ambulance | 154 Hansen Access Rd, King of Prussia, PA 19406-2404 | 2019-05-02 |
| 1134681786 | Starbrick Volunteer Fire Department | Ambulance | 5 Firemans St, Warren, PA 16365-3701 | 2019-04-03 |
| 1336612415 | Landisburg Ems Inc | Ambulance | 301 Faculty Ave, Landisburg, PA 17040-0122 | 2019-01-10 |
| 1336615533 | Marklo Ems Transport | Ambulance | 313 Indigo Way, Allentown, PA 18104-8422 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | SHAVERTOWN |
| Zip Code | 18708 |
Please comment or provide details below to improve the information on JACKSON TOWNSHIP VOLUNTEER 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.