Organization Active NPI

Mahaffey Community Ambulance Service

  • Ambulance
  • Mahaffey, PA
National Provider Identifier
1164566329
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
17009 Issued in PA
Legal business name
MAHAFFEY COMMUNITY AMBULANCE SERVICE
Practice address
104 E Main St
Mahaffey, PA 15757-6338
Phone
(814) 277-5560
Fax
(814) 277-5560
NPI assigned
Feb 19, 2007
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Marcia Smith
Title
Authorized Official
Phone
(814) 277-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 17009 PA Primary

Addresses

Primary practice location

104 E Main St
Mahaffey, PA 15757-6338

Mailing address

PO Box 32
Mahaffey, PA 15757-0032
Phone (814) 277-5560

Other identifiers 1

IdentifierTypeStateIssuer
0007657100002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121011000805 PA Part B Supplier - Ambulance Service Supplier 8022267822 Practice locations: Mahaffey, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2179605Mahaffey Community Ambulance104 East Main Street, Mahaffey, PA 15757Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

104 E Main St
Mahaffey, PA 15757
Phone (814) 277-5560

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1164566329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "MAHAFFEY",
            "state": "PA",
            "postal_code": "157570032",
            "telephone_number": "814-277-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "MAHAFFEY",
            "state": "PA",
            "postal_code": "157576338",
            "telephone_number": "814-277-5560",
            "fax_number": "814-277-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAFFEY COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "814-277-5560"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "17009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007657100002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahaffey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.

Verify at the official NPI Registry.