Organization Active NPI

McVeytown Ambulance Incorporated

  • Land Ambulance
  • McVeytown, PA
National Provider Identifier
1154753143
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MCVEYTOWN AMBULANCE INCORPORATED
Practice address
5696 US 522 Hwy South
McVeytown, PA 17051-0357
Phone
(717) 899-7473
NPI assigned
Aug 1, 2013
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Samuel L. Alexander
Title
President
Phone
(717) 899-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

5696 US 522 Hwy South
McVeytown, PA 17051-0357

Mailing address

PO Box 357
MC Veytown, PA 17051-0357
Phone (717) 899-7473

Other identifiers 1

IdentifierTypeStateIssuer
1030232170001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141217000135 PA Part B Supplier - Ambulance Service Supplier 2769705136 Practice locations: MC Veytown, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1154753143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "MC VEYTOWN",
            "state": "PA",
            "postal_code": "170510357",
            "telephone_number": "717-899-7473",
            "fax_number": "717-899-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5696 US 522 HWY SOUTH",
            "city": "MCVEYTOWN",
            "state": "PA",
            "postal_code": "170510357",
            "telephone_number": "717-899-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCVEYTOWN AMBULANCE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-899-7473"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030232170001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McVeytown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.