Active NPI
Monessen Ambulance Service
Doing business as Mon Valley Emergency Medical Services
- Ambulance
- Monessen, PA
National Provider Identifier
1184620874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03223
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007127160001 | Medicaid | PA |
Other names 1
- Mon Valley Emergency Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111215000091 | PA | Part B Supplier - Ambulance Service Supplier | 0042485328 | Practice locations: Monessen, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0910175 | Mon Valley Emergency Medical Services | Certificate of waiver | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.