Active NPI
American Medical Response Mid-Atlantic Inc
- Ambulance
- Bridgeville, PA
National Provider Identifier
1003849852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- AMERICAN MEDICAL RESPONSE MID-ATLANTIC INC
- Practice address
- 585 Mayer St
Bridgeville, PA 15017-2706 - Phone
- (412) 257-3293
- Fax
- (412) 257-3295
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Bruning
- Title
- Executive Vice President
- Phone
- (303) 495-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
585 Mayer St
Bridgeville, PA 15017-2706
Mailing address
PO Box 409880
Atlanta, GA 30384-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050201000177 | PA | Part B Supplier - Ambulance Service Supplier | 9133179716 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba American Medical Response
- Ambulance
- Elkridge, MD
- NPI 1083719801
O20050201000177
National Provider Directory
National Provider DirectoryLocations
585 Mayer St
Bridgeville, PA 15017
Phone (412) 257-3293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1003849852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409880",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 MAYER ST",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172706",
"telephone_number": "412-257-3293",
"fax_number": "412-257-3295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN MEDICAL RESPONSE MID-ATLANTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "BRUNING",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "303-495-1220"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.