Organization Active NPI

City O F Allentown

Doing business as City of Allentown EMS

  • Land Ambulance
  • Allentown, PA
National Provider Identifier
1174508006
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03050 Issued in PA
Legal business name
CITY O F ALLENTOWN
Doing business as
City of Allentown EMS
Practice address
723 W Chew St
Allentown, PA 18102-4084
Phone
(610) 439-5929
Fax
(610) 439-5928
NPI assigned
Dec 14, 2005
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY O F ALLENTOWNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mrs. Kristen Vargo, CAC
Title
EMS Billing Supervisor
Phone
(610) 439-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03050 PA Primary

Addresses

Primary practice location

723 W Chew St
Allentown, PA 18102-4084

Mailing address

723 W Chew St
Allentown, PA 18102-4084
Phone (610) 439-5929

Other identifiers 2

IdentifierTypeStateIssuer
0011206670003MedicaidPA
RAILROAD MEDICAREOtherPA590004728

Other names 1

  • City of Allentown EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000535 PA Part B Supplier - Ambulance Service Supplier 5799848180 Practice locations: Allentown, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
39D2095303City of Allentown EMS723 W Chew Street, Allentown, PA 18102Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
City of Allentown Bureau of Health4 organizations share this tax ID, including this one
Part of
City of Allentown Bureau of Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

723 Chew St
Allentown, PA 18102
Phone (610) 439-5929

723 Chew St
Unit 2
Allentown, PA 18102
Phone (610) 437-7531

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1174508006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024084",
            "telephone_number": "610-439-5929",
            "fax_number": "610-439-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024084",
            "telephone_number": "610-439-5929",
            "fax_number": "610-439-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY O F ALLENTOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY O F ALLENTOWN",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "VARGO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "EMS BILLING SUPERVISOR",
        "authorized_official_telephone_number": "610-439-5929",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011206670003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "590004728",
            "identifier": "RAILROAD MEDICARE",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Allentown EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.