Active NPI
McCandless-Franklin Park Ambulance Authority
- Land Ambulance
- Wexford, PA
National Provider Identifier
1093769267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 06017
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007936340001 | 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 |
|---|---|---|---|---|
| O20071227000080 | PA | Part B Supplier - Ambulance Service Supplier | 4789683988 | Practice locations: Wexford, PA |
National Provider Directory
National Provider DirectoryLocations
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.