Healthcare Provider Details

I. General information

NPI: 1225053002
Provider Name (Legal Business Name): HOPS AMBULANCE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6185 HERRICKVILLE RD
WYALUSING PA
18853
US

IV. Provider business mailing address

6185 HERRICKVILLE RD
WYALUSING PA
18853-8740
US

V. Phone/Fax

Practice location:
  • Phone: 570-744-1700
  • Fax: 570-247-7355
Mailing address:
  • Phone: 570-744-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARK FIELDS
Title or Position: CAPTAIN
Credential:
Phone: 570-744-1700