Organization Active NPI

Munhall Area Prehospital Services

  • Land Ambulance
  • Homestead, PA
National Provider Identifier
1275544637
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05015 Issued in PA
Legal business name
MUNHALL AREA PREHOSPITAL SERVICES
Practice address
1902 West St
Homestead, PA 15120-2535
Phone
(412) 464-7329
Fax
(412) 464-3353
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mr. Richard Robert McClean
Title
Manager
Phone
(412) 464-7329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 02164 PA
Land Ambulance 3416L0300X 05015 PA Primary

Addresses

Primary practice location

1902 West St
Homestead, PA 15120-2535

Mailing address

1902 West St
Homestead, PA 15120-2535
Phone (412) 464-7329

Other identifiers 1

IdentifierTypeStateIssuer
0016117810005MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000320 PA Part B Supplier - Ambulance Service Supplier 3577467935 Practice locations: Munhall, PA

National Provider Directory

National Provider Directory

Locations

1902 West St
Munhall, PA 15120
Phone (412) 464-7329

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1275544637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WEST ST",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151202535",
            "telephone_number": "412-464-7329",
            "fax_number": "412-464-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WEST ST",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151202535",
            "telephone_number": "412-464-7329",
            "fax_number": "412-464-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNHALL AREA PREHOSPITAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MCCLEAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-464-7329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02164",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016117810005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.