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LACEYVILLE AMBULANCE ASSOCIATION
NPI 1215120019
Ambulance - Land Transport in Laceyville, PA

Active since August 24, 2007
12 EAST MAIN STREET, LACEYVILLE, PA 18623(570) 282-5652(570) 282-5653 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laceyville Ambulance Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEYVILLE AMBULANCE ASSOCIATION (NPI 1215120019) is a healthcare organization registered as a land transport in Laceyville, Pennsylvania and active in the NPI registry since August 2007. The organization lists Eric Ryan Shafer, Captain, as its authorized official.

NPPES Registry Identity

NPI1215120019
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLACEYVILLE AMBULANCE ASSOCIATION
Location Address12 EAST MAIN STREETLaceyville, PA 18623
Mailing AddressPo Box 274Laceyville, PA 18623-0274 · (570) 282-5652 · Fax (570) 282-5653
Phone(570) 282-5652
Fax(570) 282-5653
Organization SubpartNo
Authorized OfficialEric Ryan ShaferCaptain · (570) 869-2778
Enumeration DateAugust 24, 2007
Last NPPES UpdateOctober 14, 2009
✔ NPI 1215120019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in PA · 05178
Also ListedAmbulanceTaxonomy 341600000X
12 EAST MAIN STREET, Laceyville, PA 18623
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Other Identifiers 2

Medicaid0012067070001PA
Medicare PIN282870PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laceyville Ambulance Association's NPI number?

The NPI number for Laceyville Ambulance Association is 1215120019. It was assigned to this organization in the NPPES registry on August 24, 2007.

Where is Laceyville Ambulance Association located?

Laceyville Ambulance Association is located at 12 East Main Street, Laceyville, PA 18623. The listed phone number is (570) 282-5652.

What is Laceyville Ambulance Association's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for Laceyville Ambulance Association was last updated on October 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.