NPIMap

Organization Active NPI

University Ambulance Service

  • Land Ambulance
  • University Park, PA
National Provider Identifier
1255457057
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04084 Issued in PA
Legal business name
UNIVERSITY AMBULANCE SERVICE
Practice address
542 Eisenhower Rd.
109 Student Health Ctr
University Park, PA 16802-2129
Phone
(814) 865-1772
Fax
(814) 865-7778
NPI assigned
Mar 22, 2007
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PENNSYLVANIA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Natahsha Baumgartner
Title
Asst. Director of Uhs Operations
Phone
(814) 865-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04084 PA Primary

Addresses

Primary practice location

542 Eisenhower Rd.
109 Student Health Ctr
University Park, PA 16802-2129

Mailing address

542 Eisenhower Rd
123 Student Health Ctr
University Park, PA 16802-4601
Phone (814) 865-1772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000020 PA Part B Supplier - Ambulance Service Supplier 8426002908 Practice locations: University Park, PA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
The Pennsylvania State University College of Medicine11 organizations share this tax ID, including this one
Part of
The Pennsylvania State University College of Medicine

Other organizations with this tax ID 10

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

Locations

123 Student Health Ctr
University Park, PA 16802

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn State Health St JosephReading, PA, CCN 390096 Hospital 5% Or Greater Indirect Ownership Interest (80%) Jul 1, 2015
Penn State Milton S Hershey Medical CenterHershey, PA, CCN 390256 Hospital 5% Or Greater Indirect Ownership Interest (80%) May 9, 2016
Pennsylvania Psychiatric InstituteHarrisburg, PA, CCN 394051 Hospital 5% Or Greater Indirect Ownership Interest (80%) Jul 1, 2023
Penn State Health Holy Spirit Medical CenterCamp Hill, PA, CCN 390004 Hospital 5% Or Greater Indirect Ownership Interest (80%) Nov 1, 2020
Penn State Health Holy Spirit Medical CenterCamp Hill, PA, CCN 39S004 Hospital 5% Or Greater Indirect Ownership Interest (80%) Nov 1, 2020
Penn State Health Hampden Medical CenterEnola, PA, CCN 390336 Hospital 5% Or Greater Indirect Ownership Interest (80%) Jun 18, 2020
Penn State Health Lancaster Medical CenterLancaster, PA, CCN 390339 Hospital 5% Or Greater Indirect Ownership Interest (80%) Jun 18, 2020

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1255457057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 EISENHOWER RD",
            "address_2": "123 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168024601",
            "telephone_number": "814-865-1772",
            "fax_number": "814-865-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 EISENHOWER RD.",
            "address_2": "109 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-1772",
            "fax_number": "814-865-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY AMBULANCE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNSYLVANIA STATE UNIVERSITY",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "NATAHSHA",
        "authorized_official_title_or_position": "ASST. DIRECTOR OF UHS OPERATIONS",
        "authorized_official_telephone_number": "814-865-3585"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

Verify at the official NPI Registry.