Ingram Community Emergency Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03126 Issued in PA

Legal business name

INGRAM COMMUNITY EMERGENCY AMBULANCE SERVICE, INC

Doing business as

Ingram Community Ambulance

Practice address

40 W. Prospect Ave
Pittsburgh, PA 15205

Phone

(412) 921-1449

Fax

(412) 921-1449

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karen L. Dixon

Title

EMS Director

Phone

(412) 921-1449

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ingram Community Ambulance Doing business as

Locations

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1154395028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 LOCUST ST",
            "address_2": "C/O MEDICAL BILLING GROUP",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151081711",
            "telephone_number": "412-264-1446",
            "fax_number": "412-264-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W. PROSPECT AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15205",
            "telephone_number": "412-921-1449",
            "fax_number": "412-921-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM COMMUNITY EMERGENCY AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "412-921-1449",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "590007595",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014925640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingram Community Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Infinite Lifestyle Solutions
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• Jordyn Michelle Ingelido
• Micah Ingle, LAPC
• Kenneth Ingold
• Benjamin Ingram
• Michael Ingram
• Sarah Ingram
• Sarah Jean Ingram, LCSW
• Ingrid Fulton-Edwards, LCSW

• Land Ambulance in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.