Organization Active NPI

Monessen Ambulance Service

Doing business as Mon Valley Emergency Medical Services

  • Ambulance
  • Monessen, PA
National Provider Identifier
1184620874
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03223 Issued in PA
Legal business name
MONESSEN AMBULANCE SERVICE
Doing business as
Mon Valley Emergency Medical Services
Practice address
1001 Donner Ave
Monessen, PA 15062-1051
Phone
(724) 684-7612
Fax
(724) 684-6195
NPI assigned
Jun 27, 2005
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. William Nelson Hess
Title
Administrator
Phone
(724) 684-9537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03223 PA Primary

Addresses

Primary practice location

1001 Donner Ave
Monessen, PA 15062-1051

Mailing address

1001 Donner Ave
Monessen, PA 15062-1051
Phone (724) 684-7612

Other identifiers 1

IdentifierTypeStateIssuer
0007127160001MedicaidPA

Other names 1

  • Mon Valley Emergency Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000091 PA Part B Supplier - Ambulance Service Supplier 0042485328 Practice locations: Monessen, 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
39D0910175Mon Valley Emergency Medical Services1001 Donner Avenue, Monessen, PA 15062Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Locations

1001 Donner Ave
Monessen, PA 15062
Phone (412) 684-7612

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1184620874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DONNER AVE",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621051",
            "telephone_number": "724-684-7612",
            "fax_number": "724-684-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DONNER AVE",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621051",
            "telephone_number": "724-684-7612",
            "fax_number": "724-684-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONESSEN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-684-9537",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007127160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mon Valley Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monessen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.