Organization Active NPI

McCandless-Franklin Park Ambulance Authority

  • Land Ambulance
  • Wexford, PA
National Provider Identifier
1093769267
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
06017 Issued in PA
Legal business name
MCCANDLESS-FRANKLIN PARK AMBULANCE AUTHORITY
Practice address
9925 Grubbs Rd
Wexford, PA 15090
Phone
(412) 367-5883
Fax
(412) 367-8147
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Donald J Huber
Title
Chairman
Phone
(412) 367-5883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 06017 PA Primary

Addresses

Primary practice location

9925 Grubbs Rd
Wexford, PA 15090

Mailing address

9925 Grubbs Rd
Wexford, PA 15090-9644
Phone (412) 367-5883

Other identifiers 1

IdentifierTypeStateIssuer
0007936340001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071227000080 PA Part B Supplier - Ambulance Service Supplier 4789683988 Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Locations

9565 Babcock Blvd
Allison Park, PA 15101
Phone (412) 367-4717

9925 Grubbs Rd
Wexford, PA 15090
Phone (412) 367-5883

228 N Chapel Dr
Wexford, PA 15090
Phone (412) 367-5883

2533 Ems Ln
Wexford, PA 15090
Phone (412) 367-5883

194 Swinderman Rd
Wexford, PA 15090
Phone (724) 935-3781

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1093769267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 GRUBBS RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909644",
            "telephone_number": "412-367-5883",
            "fax_number": "412-367-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 GRUBBS RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "412-367-5883",
            "fax_number": "412-367-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCANDLESS-FRANKLIN PARK AMBULANCE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "412-367-5883"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "06017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007936340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.