Organization Active NPI

Mercy Care Ambulance Inc

  • Land Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1245574862
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
46153 Issued in PA
Legal business name
MERCY CARE AMBULANCE INC
Practice address
380 Red Lion Rd Ste 231
Huntingdon Valley, PA 19006-6451
Phone
(267) 890-4555
NPI assigned
Nov 20, 2012
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Hanna Boichenko
Title
President
Phone
(267) 546-6721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 46153 PA Primary

Addresses

Primary practice location

380 Red Lion Rd Ste 231
Huntingdon Valley, PA 19006-6451

Mailing address

380 Red Lion Rd Ste 231
Huntingdon Valley, PA 19006-6451
Phone (267) 546-6721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130215000007 PA Part B Supplier - Ambulance Service Supplier 4789838087 Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

3021 Franks Rd
Ste 10
Huntingdon Valley, PA 19006
Phone (215) 800-4403

70 Tracey Rd
Unit D
Huntingdon Valley, PA 19006
Phone (215) 776-3300

380 Red Lion Rd
Ste 231
Huntingdon Vy, PA 19006
Phone (267) 546-6721

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1245574862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 RED LION RD STE 231",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066451",
            "telephone_number": "267-546-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RED LION RD STE 231",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066451",
            "telephone_number": "267-890-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BOICHENKO",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-546-6721"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "46153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.