Organization Active NPI

Lafayette Ambulance and Rescue Squad, Inc.

  • Ambulance
  • King of Prussia, PA
National Provider Identifier
1245298751
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03158 Issued in PA
Legal business name
LAFAYETTE AMBULANCE AND RESCUE SQUAD, INC.
Practice address
180 N Henderson Rd
King of Prussia, PA 19406-2123
Phone
(610) 992-0399
Fax
(610) 992-0162
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Mr. Stephen RoskosNPI 1447792023
Title
Executive Manager
Phone
(610) 992-0399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03158 PA Primary

Addresses

Primary practice location

180 N Henderson Rd
King of Prussia, PA 19406-2123

Mailing address

180 N Henderson Rd
King of Prussia, PA 19406-2123
Phone (610) 992-0399

Other identifiers 12

IdentifierTypeStateIssuer
0012648720004MedicaidPA
000281328OtherPAHIGHMARK BLUECROSS BLUESH
20036290OtherPAAMERIHEALTH MERCY HEALTH
0049083000OtherPAKEYSTONE HEALTH PLAN EAST
X000238501OtherPAAMERICHOICE OF PA
281328OtherPAHIGHMARK BLUESHIELD
0049083000OtherPAIBC PERSONAL CHOICE
07949OtherPAHEALTHPARTNERS
281328OtherPAINDEPENDENCE BLUE CROSS
281328OtherPACAPITAL BLUE CROSS
281328OtherPASTATE WORKERS INSURANCE F
000281328OtherPAUNITED HEALTHCARE INSURAN

National Provider Directory

National Provider Directory

Locations

180 N Henderson Rd
Kng of Prussa, PA 19406
Phone (610) 992-0399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1245298751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N HENDERSON RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062123",
            "telephone_number": "610-992-0399",
            "fax_number": "610-992-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N HENDERSON RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062123",
            "telephone_number": "610-992-0399",
            "fax_number": "610-992-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE AMBULANCE AND RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSKOS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "610-992-0399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012648720004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUECROSS BLUESH",
            "identifier": "000281328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTH",
            "identifier": "20036290",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0049083000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF PA",
            "identifier": "X000238501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD",
            "identifier": "281328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PERSONAL CHOICE",
            "identifier": "0049083000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "07949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "281328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "281328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE WORKERS INSURANCE F",
            "identifier": "281328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INSURAN",
            "identifier": "000281328",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.