Active NPI
Waynesboro Ambulance Squad Inc
- Land Ambulance
- Waynesboro, PA
National Provider Identifier
1144212911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WAYNESBORO AMBULANCE SQUAD INC
- Practice address
- 603 W Main St
Waynesboro, PA 17268-1417 - Phone
- (717) 762-5338
- Fax
- (717) 762-1735
- NPI assigned
- Aug 18, 2005
- Last updated
- Dec 27, 2012
- 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
- Karen J Rock
- Title
- President
- Phone
- (717) 762-5338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
603 W Main St
Waynesboro, PA 17268-1417
Mailing address
603 W Main St
Waynesboro, PA 17268-1417
Phone (717) 762-5338
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008486250003 | Medicaid | PA | |
| 010128889 | Medicaid | VA | |
| 119954901 | Other | US DEPT OF LABOR | |
| 3810001910 | Medicaid | WV | |
| 401676900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090910000360 | PA | Part B Supplier - Ambulance Service Supplier | 4981759263 | Practice locations: Waynesboro, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2134878 | Waynesboro Ambulance Squad Inc | Certificate of waiver | Aug 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
603 W Main St
Waynesboro, PA 17268
Phone (717) 762-5338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356566400000",
"number": "1144212911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W MAIN ST",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172681417",
"telephone_number": "717-762-5338",
"fax_number": "717-762-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W MAIN ST",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172681417",
"telephone_number": "717-762-5338",
"fax_number": "717-762-1735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNESBORO AMBULANCE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2012-12-27",
"status": "A",
"authorized_official_last_name": "ROCK",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-762-5338"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008486250003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010128889",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "119954901",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810001910",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401676900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, PA
- Wal-Mart Stores East, LP (Vision Center 30-3633)
- Angie Marie Wallace, CRNP
- Nicholas A Wardle, DPT
- Hina Warraich
- Christine Kay Washington
- Waynesboro Area Advanced Life Support Unit
- Waynesboro Area School District
- Waynesboro Family Medical Associates, LLP
- Waynesboro Family Medical Associates, LLP
- Waynesboro Hospital (WellSpan Waynesboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.