Penn Township Ambulance Association Rescue No 6

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05169 Issued in PA

Legal business name

PENN TOWNSHIP AMBULANCE ASSOCIATION RESCUE NO 6

Practice address

1030 Sandy Hill Rd
Irwin, PA 15642-4700

Phone

(724) 744-4112

Fax

(724) 744-4599

NPI assigned

Feb 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edgar Grant

Title

Director

Phone

(724) 744-4112

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Penn Twp Ambulance Rescue 6 Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1033180559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SANDY HILL RD",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424700",
            "telephone_number": "724-744-4112",
            "fax_number": "724-744-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SANDY HILL RD",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156424700",
            "telephone_number": "724-744-4112",
            "fax_number": "724-744-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN TOWNSHIP AMBULANCE ASSOCIATION RESCUE NO 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-744-4112"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007168870002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE/PALMETTO GBA",
            "identifier": "590130845",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEATH PLAN",
            "identifier": "000000067301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "103546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "288698",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1021810",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "8517",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Twp Ambulance Rescue 6",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hannah Phillips
• Simon Phillips
• Katlyn Pierce

• Land Ambulance in Irwin, PA
• Providers in Irwin, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.

Verify at the official NPI Registry.