Active NPI
Bethel Community Ambulance
- Ambulance
- Bethel, PA
National Provider Identifier
1043228869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 05062
- Legal business name
- BETHEL COMMUNITY AMBULANCE
- Practice address
- 8170 Lancaster Ave
Bethel, PA 19507-0032 - Phone
- (717) 933-8934
- Fax
- (717) 933-9689
- NPI assigned
- Aug 4, 2006
- Organization subpart
- Yes
- Parent organization
- BETHEL COMMUNITY AMBULANCE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sylvan B Witmer
- Title
- Captain/Treasurer
- Phone
- (717) 933-8934
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 05062 | PA | Primary |
Addresses
Primary practice location
8170 Lancaster Ave
Bethel, PA 19507-0032
Mailing address
PO Box 32
Bethel, PA 19507-0032
Phone (717) 933-8934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014195000002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121127000431 | PA | Part B Supplier - Ambulance Service Supplier | 5395996250 | Practice locations: Bethel, PA |
National Provider Directory
National Provider Directory- Part of
- Bethel Community Ambulance
Locations
8170 Lancaster Ave
Bethel, PA 19507
Phone (717) 933-8934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1043228869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "BETHEL",
"state": "PA",
"postal_code": "195070032",
"telephone_number": "717-933-8934",
"fax_number": "717-933-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8170 LANCASTER AVE",
"city": "BETHEL",
"state": "PA",
"postal_code": "195070032",
"telephone_number": "717-933-8934",
"fax_number": "717-933-9689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHEL COMMUNITY AMBULANCE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BETHEL COMMUNITY AMBULANCE",
"enumeration_date": "2006-08-04",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "WITMER",
"authorized_official_first_name": "SYLVAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CAPTAIN/TREASURER",
"authorized_official_telephone_number": "717-933-8934",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "05062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014195000002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.