Active NPI
Penn Mahoning Ambulance Association
- Land Ambulance
- New Ringgold, PA
National Provider Identifier
1063452324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PENN MAHONING AMBULANCE ASSOCIATION
- Practice address
- 1748 West Penn Pike
New Ringgold, PA 17960-9401 - Phone
- (570) 386-2233
- Fax
- (570) 386-4128
- NPI assigned
- Jun 7, 2006
- 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
- Valerie Coombe, EMT/B
- Title
- President
- Phone
- (570) 386-2233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1748 West Penn Pike
New Ringgold, PA 17960-9401
Mailing address
P.O.Box 135
Andreas, PA 18211-0135
Phone (570) 386-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001160546 0001 | 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 |
|---|---|---|---|---|
| O20090702000358 | PA | Part B Supplier - Ambulance Service Supplier | 4880745850 | Practice locations: New Ringgold, PA |
National Provider Directory
National Provider DirectoryLocations
1748 W Penn Pike
New Ringgold, PA 17960
Phone (570) 386-2233
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Plymouth Meeting, PA
- NPI 1386889376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705708800000",
"number": "1063452324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 135",
"city": "ANDREAS",
"state": "PA",
"postal_code": "182110135",
"telephone_number": "570-386-2233",
"fax_number": "570-386-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 WEST PENN PIKE",
"city": "NEW RINGGOLD",
"state": "PA",
"postal_code": "179609401",
"telephone_number": "570-386-2233",
"fax_number": "570-386-4128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENN MAHONING AMBULANCE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A",
"authorized_official_last_name": "COOMBE",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-386-2233",
"authorized_official_credential": "EMT/B"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001160546 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Ringgold, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.